The number of internal stitches after a hysterectomy isn't fixed; it varies based on the type of hysterectomy performed and the surgical technique used. The reference stated the incisions are closed with 1 or 2 stitches after surgery, which is a very simplified description likely referring to external stitches. However, internal stitches are far more complex.
Here's a breakdown:
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Type of Hysterectomy: The extent of the surgery determines the number of internal stitches required.
- Total Hysterectomy: Removal of the uterus and cervix. This generally requires more internal stitches to close the vaginal cuff (where the cervix was attached).
- Partial or Subtotal Hysterectomy: Only the uterus is removed, leaving the cervix intact. This typically requires fewer internal stitches.
- Radical Hysterectomy: Removal of the uterus, cervix, part of the vagina, and supporting tissues. This is the most extensive type and requires the most internal stitches.
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Surgical Approach: How the surgeon performs the hysterectomy also influences the stitching.
- Abdominal Hysterectomy: Incision through the abdomen. This may require more internal stitches to close the abdominal wall layers.
- Vaginal Hysterectomy: Uterus removed through the vagina. The vaginal cuff requires careful stitching.
- Laparoscopic Hysterectomy: Small incisions are made, and instruments are used to remove the uterus. Requires less stitching compared to open surgery.
- Robotic Hysterectomy: Similar to laparoscopic but uses robotic assistance, which can allow for very precise stitching.
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What is Being Stitched Internally:
- Vaginal Cuff: Requires stitches to close the opening at the top of the vagina.
- Blood Vessels: Stitches or clips are needed to tie off blood vessels.
- Supporting Ligaments: These are secured with sutures.
- Abdominal Wall Layers (in Abdominal Hysterectomy): Each layer is carefully stitched.
In Conclusion:
It's impossible to give a specific number of internal stitches for a hysterectomy. It depends significantly on the surgical technique and the extent of the procedure. The "1 or 2 stitches" likely refers to the external closure. Consult your surgeon for details specific to your surgery.
