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BAJAJ FINSERV HEALTH LIMITED
Hysterotomy
Find the best hospitals for Hysterotomy on the Bajaj Finserv Health platform.
Minimum Cost
₹70,000
Average Cost
₹70,000
Maximum Cost
₹70,000
- hysterotomy cost in India depends on factors like the city, hospital and doctor.
- You can convert your hysterotomy cost into easy, no-cost EMIs with Bajaj Finserv Health.
Quick links
- What is Hysterotomy?
- Types of Hysterotomy Procedure
- When is Hysterotomy Operation Required?
- How to Prepare for Hysterotomy Surgery
- What happens before hysterotomy surgery?
- What happens during hysterotomy operation?
- Methods/Techniques used for performing hysterotomy procedure
- Post Procedure details
- Risks and complications associated with hysterotomy surgery
- Why Bajaj Health?
What is Hysterotomy?
Hysterotomy is a surgical procedure that involves the incision into the uterus, often to remove a fetus during caesarean section or for removal of fibroids. It is an operation that is similar to a caesarean section, but it is performed in different circumstances and for different reasons. It is typically considered a last resort procedure, used only when all other options have been exhausted. Despite the serious nature of this procedure, it is generally safe and can save lives when performed by a skilled surgeon. It is important to note that, like any surgical procedure, hysterotomy carries risks such as infection, bleeding, and damage to surrounding organs.
Types of Hysterotomy Procedure
Lower Segment Hysterotomy:
This is the most common type of hysterotomy and is often used during caesarean sections. The incision is made in the lower part of the uterus, which is less muscular and less vascular, reducing the risk of heavy bleeding. The incision is usually horizontal, but can also be vertical depending on the situation.
Classical Hysterotomy:
This procedure involves a vertical incision in the upper part of the uterus. It is usually used when the baby is positioned abnormally, or if the mother has a fibroid or placenta previa. Classical hysterotomy is more likely to result in heavy bleeding and can also increase the risk of uterine rupture in future pregnancies.
Transverse Hysterotomy:
Transverse hysterotomy involves a horizontal incision in the upper part of the uterus. This type of hysterotomy is less common and is typically used in certain situations, such as when the baby is lying sideways in the uterus.
J-Shaped Hysterotomy:
This type of hysterotomy is named for the shape of the incision, which resembles the letter J. It is used in certain complex situations, such as when the placenta is implanted low in the uterus. A J-shaped hysterotomy allows the surgeon to access the uterus without cutting through the placenta, which can reduce the risk of heavy bleeding.
Inverted T Hysterotomy:
This is a rare type of hysterotomy that is used in extremely complex situations. It involves two incisions: one vertical and one horizontal. This type of hysterotomy carries a high risk of complications, including heavy bleeding and uterine rupture, and is therefore used only as a last resort.
When is Hysterotomy Operation Required?
A hysterotomy operation, also known as a cesarean section, is a surgical procedure performed when it's too risky or impossible to deliver a baby vaginally. Here are some situations that may necessitate a hysterotomy operation:Placental problems:
Conditions such as placenta previa (where the placenta covers the cervix) or placental abruption (where the placenta separates from the inner uterine wall before birth) can make a vaginal delivery dangerous for both mother and baby. In such cases, a hysterotomy may be required.
Fetal distress:
If the baby shows any signs of distress, such as an abnormal heart rate or a lack of oxygen, a hysterotomy operation may be necessary to ensure the baby's safety.
Breech positioning:
If the baby is in a breech position (bottom or feet first) or transverse position (sideways), a hysterotomy operation may be the safest option for delivery.
Failure to progress in labor:
In some cases, labor may not progress as expected, and a hysterotomy operation can prevent potential complications.
Multiple pregnancies:
In the case of patients with multiple pregnancies, especially higher-order multiples (triplets or more), a hysterotomy operation may be recommended.
Previous cesarean section:
If a woman has had a previous cesarean section, she may be at a higher risk of complications if attempting a vaginal delivery, and a hysterotomy may be suggested.
How to Prepare for Hysterotomy Surgery
Preparation for a hysterotomy operation involves a few steps to ensure the best possible outcome. Here are some ways to prepare:Preoperative testing:
Before the procedure, expectant mothers will undergo various tests, including blood tests and ultrasounds, to assess their health status and the baby's position.
Fasting:
Women are usually required to fast for at least eight hours before the surgery to prevent complications from anesthesia.
Consultation with anesthesiologist:
Prior to the procedure, a consultation with the anesthesiologist will take place to discuss anesthesia options and potential risks.
Preoperative hygiene:
An antiseptic shower or bath may be recommended the night before or the morning of the surgery to minimize infection risk.
Medications:
Doctors may prescribe antibiotics to take before the surgery to prevent infection.
Emotional preparation:
It's important to mentally prepare for the surgery, understanding the process, potential complications, and recovery time. This can be achieved through discussions with healthcare providers and participation in prenatal classes.
What happens before hysterotomy surgery?
Before the hysterotomy surgery, your doctor will explain the procedure, its risks and benefits. You will also be asked to sign a consent form.
The doctor will conduct a physical examination to check your overall health. This will include blood tests, an ECG and a chest X-ray, among other tests.
You will be advised to stop eating and drinking several hours before the surgery to prepare your body for anesthesia.
Bolld thinner medications like aspirin, warfarin, or clopidogrel, may need to be stopped a few days before the procedure to reduce the risk of excess bleeding during surgery. However, make sure to consult with your doctor before stopping any prescribed medication.
The area where the surgery will take place will be cleaned and prepped to minimize the risk of infection. This often involves shaving the area and applying antiseptic.
Just before the surgery, you will be given anesthesia. The type of anesthesia used will depend on your individual situation, but a general anesthetic is most commonly used for hysterotomy surgery.
What happens during hysterotomy operation?
Once the anesthesia has taken effect, the surgeon will make a horizontal cut in your lower abdomen. This cut is typically between 5 and 7 inches long, depending on your body size and the reason for the surgery.
The surgeon will then open the uterus with another cut. The direction of this cut depends on the position of the baby and the location of the placenta.
The baby, followed by the placenta, is then carefully removed from the uterus. The umbilical cord is cut and clamped.
After the baby and placenta are removed, the surgeon will close the uterus with stitches. These stitches will dissolve on their own over time and do not need to be removed.
The incision in your abdomen will also be closed with stitches or staples. A dressing is placed over the wound to keep it clean and dry.
In most cases, the operation takes about 50 minutes to an hour. However, the procedure duration can vary depending on factors such as the position of the baby and whether there are any complications.
Methods/Techniques used for performing hysterotomy procedure
In a hysterotomy procedure, the surgeon makes an incision in the abdomen, similar to a cesarean section. The uterus is then opened, and the baby is removed. The placenta is then also removed before the uterus and abdomen are closed with stitches.
General anesthesia is used during the procedure. This ensures that the patient remains unconscious throughout the surgery and does not feel any pain. In some cases, a regional anesthesia may be used which numbs only a certain area of the body.
Before the surgery, the patient may be given medications to help prevent infection. These can include antibiotics and other types of medications. The patient will also be connected to monitors that will keep track of their heart rate, blood pressure, and oxygen levels during the procedure.
Post Procedure details
After the procedure is done, the patient is moved to a recovery room where they will be closely monitored. The patient may feel some pain and discomfort in the abdomen and will be given pain medications to help manage this. The patient will also be encouraged to move around as soon as possible to help prevent blood clots.
The patient will be kept in the hospital for a few days to recover. During this time, the patient's vital signs will be closely monitored, and they will be given medications for pain relief and infection prevention.
Once the patient is discharged from the hospital, they will need to rest and recover at home. They need to avoid heavy lifting and strenuous activities for a few weeks. Regular follow-up doctor visits are crucial to check their recovery progress.
Risks and complications associated with hysterotomy surgery
As with any major surgery, hysterotomy carries some risks. These can include infection, bleeding, blood clots, and reactions to anesthesia. In rare cases, damage to other organs such as the bladder or bowel can occur.
There are also risks associated with the baby. These can include prematurity, low birth weight, and respiratory problems. In rare cases, the baby may not survive the procedure.
There can also be long-term complications for the mother. These can include emotional and psychological issues, including postpartum depression. There can also be physical complications, such as difficulty breastfeeding and future pregnancy complications.
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DisclaimerThe cost of hysterotomy depends on the following factors: the city, the hospital that is selected, the complexity of the procedure and the room chosen by the patient. The price range mentioned here is an approximation of the surgery cost; Bajaj Finserv Health does not claim that these prices are an exact estimate. For exact information about surgery charges, it is best inquire at the selected hospital.