Many women still postpone the procedure commonly referred to as “uterus removal surgery” because of concerns about pain, a large surgical scar, and a long recovery period. Minimally invasive hysterectomy procedures help reduce the duration of surgery and shorten the hospital stay. These operations represent an important advancement in women’s health, particularly by reducing postoperative pain and surgery-related complications.
In laparoscopic hysterectomy procedures, the patient may often be discharged on the same day. In many patients, the operation takes approximately one hour, and blood loss is usually minimal. Since postoperative pain is generally much lower, there is often less need for the pain medications commonly required after traditional open surgery.
One of the important benefits of these procedures for patients is the difference in cosmetic outcomes. In conventional surgery, healing of a large incision, usually a horizontal incision of approximately 10–12 cm, may result in a permanent surgical scar. In laparoscopic surgery, however, the procedure is completed through an approximately 1 cm incision inside the umbilicus, which is often barely noticeable after surgery, and usually two very small incisions in the groin area. As a result, a permanent visible scar on the abdomen is generally avoided. In addition to faster physical recovery after surgery, this approach may also provide emotional comfort for the patient.
This method is not performed in every center. The number of centers performing laparoscopic hysterectomy in Türkiye is limited. Every woman deserves access to effective, successful, and less burdensome surgical treatment options when they are medically appropriate.
Hysteroscopic Procedures
Hysteroscopy is a procedure in which the inside of the uterus is visualized by entering through the vagina and cervix using a special optical instrument called a hysteroscope. It can be performed under local anesthesia or general anesthesia. The procedure usually takes less than 30 minutes.
With hysteroscopic interventions, many conditions can be diagnosed and, at the same time, treated. Due to the lower need for anesthesia, improved postoperative comfort, and its increasingly common use, hysteroscopy provides significant advantages for both diagnosis and treatment, especially in patients undergoing infertility treatment. It may also be possible to remove fibroids located close to the uterine cavity through a hysteroscopic approach.
What Is Curettage? How Is Curettage Performed?
This procedure can be completed within a few minutes; however, it may be painful if anesthesia is not used. We perform the procedure under anesthesia, using a mild intravenous sedative, in a much more COMFORTABLE and SAFE manner while prioritizing patient PRIVACY. After the procedure, the patient can usually return to daily life or work. In early weeks of pregnancy, the most effective, safe, and comfortable method is vacuum aspiration. The instruments we use are plastic and disposable, meaning that the instrument used for one patient is never used for another patient.
What Are the Risks of Curettage?
One of the most frequently asked questions about curettage is: “Is it possible to become pregnant again after having a curettage?”
Answer: Yes.
Another frequently asked question is: “What problems may occur during or after curettage?”
Answer: Although not very common, complications such as cervical injury or laceration, uterine perforation, bleeding, and infection may occur. In order to reduce the likelihood of these complications and to ensure rapid treatment if they do occur, curettage should be performed by an EXPERIENCED physician. This helps minimize the risk of permanent harm to the patient. A much rarer situation is the continuation of pregnancy after the procedure, meaning that the procedure has been unsuccessful. Therefore, the procedure should not be completed without ultrasonographic confirmation. Antibiotic use is also recommended to reduce the risk of infection.