Hysterectomy (Removal of the Womb)

· Those in Mexicali, Mexico for 5 days or more.
· Those who want to treat ovarian cancer, uterine cancer, cervical cancer or cancer of the fallopian tubes.
· Those with long-term pelvic pain.
· Those with abnormal vaginal bleeding.
· Those who want to treat fibroids, endometriosis or uterine prolapse.

A hysterectomy is a surgical procedure to remove the uterus, or the womb. The uterus is where a baby grows if you are pregnant. Once hysterectomy is done, you will not be able to get pregnant. Hysterectomy may be total or partial. A total hysterectomy (complete hysterectomy) involves removing the body, fundus and cervix of the uterus. Meanwhile, a partial hysterectomy (supracervical hysterectomy) is the removal of the uterine body while leaving the cervix intact.

Our affiliated doctor will examine your condition to determine the type of hysterectomy procedure suitable for you. Before finalizing the surgery, your uterus will also be checked for any abnormalities or adherence. Hysterectomy can be done through 2 types of incisions, a vertical incision which starts from the middle of your abdomen to below your navel, or a horizontal bikini-line incision, which lies about an inch above your pubic bone. The type of incision suitable for you will be determined by the doctor.

1. General Anesthesia or Regional Blockage with IV sedation will be administered.
2. A urinary catheter will be passed through the urethra to empty the bladder.
3. Abdomen and vagina will be cleaned with a sterile solution.
4. Incision will be made in the lower abdomen.
5. Removal of the womb will be done and the incision will be closed.
6. End of procedure.

Day 1 - Pick up at the airport (San Diego, CA and/or Yuma, AZ upon request). Transport to Hospital de la Familia will be provided by our affiliated hospital. Pre-Op consultation will be done and you can rest at the hospital for the night to prepare for the treatment on the next day.

Day 2 - Consultation with specialists and surgery day. Spent the night at the hospital.

Day 3 - Recovery day and Post-Op checking/monitoring. You can go back to the hotel.

Day 4 - Recovery day

Day 5 - Eligible to fly back home (Transportation back to airport is provided upon request)

<Advantages>
· Stops heavy bleeding
· May relieve pain permanently
· Safe procedure
· Improves comfort and quality of life

<Limitations>
· Complications associated with surgery

There's a small risk of complications, including:
· Heavy bleeding
· Infection
· Damage to the bladder or bowel
· Reaction to anesthesia

· Tell the doctor about all medications and supplements you are taking.
· Stop smoking and taking unhealthy diets for 2 to 4 weeks before the procedure.
· List all allergies, including to local or general anesthesia.
· If you have worries about the major operation and your risks, please consult with the surgeon and nurses.

· Take medications as prescribed
· Do not lift heavy object for 3 weeks or more
· Do not have intercourse for 4+ weeks or until your doctor permits
· Do not eat a lot of fats or take spicy foods for at least 2 weeks after surgery
· Take plenty of rest especially for 2 weeks after the procedure

Q1: Can I get a Hysterectomy if I am under 40?
A1: Yes, but an additional psychological evaluation is required to make sure you understand that getting this procedure means you would be unable to become pregnant, and other changes can also happen to your body. This review is necessary to provide you with the best treatment.

Q2: How long would I need to fully recover?
A2: You may need 6 to 8 weeks to fully recover. In terms of work, some patients may only need 2-week leave from work while some may need more. This depends on the type of job you have so please get a consultation with the doctor to determine how long you should rest.

Q3: Can I freeze eggs before Hysterectomy?
A3: If you are still ovulating, yes. This would require an IVF treatment. If you want to learn more about this, our affiliated case manager can explain more.

Q4: Do I need to come back for a follow-up consultation?
A4: If you live nearby to the hospital, you may come again 1 week after surgery for a follow-up. Otherwise, follow-up can be done online.

Q5: How do I know if I am having a complication or infection?
A5: Cases of infections are rare, but the first symptom would be fever, vomiting or forming of dark/purplish color at the incision site. Extreme vaginal or incision bleeding is also not normal. If you are concerned, take pictures of the affected site and send them to your doctor immediately. If you are feeling sick, please go to your local hospital for assistance.

[Clinic Name] Hospital de la Familia
[Location] Mexicali, Mexico
[Nearest Stations / Attractions] The hospital is about 17 mins drive from Mexicali International Airport and 10 mins drive from Holiday Inn Express & Suites Mexicali
[Clinic Opening Time] Monday - Sunday (24 hrs)