Hysterectomy in Israel

Professor David Schneider

head of the gynecologic oncology department and gynecological center

At the Top Ichilov clinic, when treating any gynecological disease, even the most complex, doctors always strive to preserve the uterus and its functions. All modern capabilities are utilized—from high-precision diagnostics to innovative minimally invasive methods that achieve excellent results with minimal trauma to the body. Each case is considered individually, with a thorough analysis of alternatives and the application of the most advanced technologies, so that the woman has the best chance of recovery while preserving reproductive health and natural well-being.

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38%

of decisions made in the CIS regarding hysterectomy are not confirmed at Top Ichilov

84%

of cases of uterine treatment at Top Ichilov lead to its preservation

93%

of uterine surgeries at Top Ichilov are performed using laparoscopic methods

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However, preserving the uterus is not always possible: there are many serious and chronic or oncological diseases, in advanced forms of which complete removal of the uterus is necessary. But even in this case, the surgeons at Top Ichilov perform the surgery using minimally invasive methods, reducing the hospitalization and rehabilitation period and making them less painful.

Vaginal Laparoscopic Hysterectomy

Hysterectomy at Top Ichilov is performed using a minimally invasive method - laparoscopy. As a result of this intervention, the abdominal wall tissues are not incised, and access to the surgical field is through the vagina. Vaginal laparoscopy is minimally traumatic, significantly reducing the rehabilitation time and positively affecting the postoperative period. Patients recover faster after the surgery.

Vaginal hysterectomy has several advantages over abdominal surgery:

• shorter hospitalization period;
• shorter rehabilitation period.

However, vaginal surgery is not possible in cases of an enlarged uterus.

Stages of the Surgery

The surgery, which can be open or laparoscopic, is performed under general anesthesia, with the patient in a gynecological chair, and a catheter is inserted into her bladder. Regardless of the type of surgery, the surgeon interrupts the connection of the uterus with the blood supply, the upper part of the vagina, the ovaries, and the ligaments supporting the uterus in its natural position, and then makes an incision in the vagina. The uterus is removed through this incision.
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Abdominal Laparoscopic Hysterectomy

In cases where vaginal removal is not possible (for example: with enlarged uterus), the patient is assigned an Abdominal Hysterectomy – this is a surgery to remove the uterus through an incision in the lower abdomen. At Top Ichilov, such surgery can be performed laparoscopically or using a robotic surgeon.

Typically, all unpleasant sensations from the surgery pass within 24 hours, and the patient can be discharged from the hospital.

Hysterectomy at Top Ichilov is performed by leading gynecological surgeons in Israel.

Gynecological Surgery at Top Ichilov: Patients Share Their Experiences

When is Hysterectomy (Hysterectomy) Indicated?

Hysterectomy is recommended for a patient when alternative treatment methods have not yielded satisfactory results.

The surgery to remove the uterus is performed to address several medical issues:

• Malignant tumors of the gynecological organs: uterine cancer, cervical cancer, ovarian cancer, or endometrial cancer.
• Removal of benign tumors, fibroids, and myomas causing bleeding
• Pelvic pain
• Pain during sexual intercourse
• Pressure on the bladder
• Endometriosis (tissue of the uterine wall growing outside the uterus, mainly in the digestive system area). This issue is primarily resolved through abdominal hysterectomy, but in special cases, vaginal surgery is required.
• Uterine prolapse into the vagina due to aging or multiple births, complicating urination and bowel movements or making them involuntary
• Treatment of chronic pelvic pain if the cause of the pain is diagnosed in the uterus and other therapy methods have not helped
• Severe and irregular uterine bleeding causing hemoglobin deficiency (anemia) and unresponsive to treatment with medications or minimally invasive methods (hysteroscopy, curettage).
• Excessively muscular uterine wall, resulting in pain, bleeding, damage to neighboring organs such as the bladder or rectum, pain during sexual intercourse, or back pain.
• Uterus maintaining a size as in the 14-15 week of pregnancy
• Rapidly growing uterus (suspected malignant tumor)
• Multiple pelvic inflammations that may progress to abscess

During hysterectomy, there may be a need to remove the cervix, ovaries, and fallopian tubes. Before making a decision about hysterectomy, it is essential to consult an experienced gynecologist, consider possible alternatives together with them, discuss various forms of surgical intervention, their pros and cons, as well as their suitability for the patient's physical and psychological condition.

Our clinic performs all types of hysterectomy surgeries. The use of modern techniques and technologies allows most surgeries to be performed in a progressive, gentle, and highly effective manner—minimally invasive laparoscopy.

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• Endometrial Adenocarcinoma
• Bicornuate Uterus