Gynaecology or gynecology (see spelling differences) is the medical practice dealing with the health of the female reproductive system. Almost all modern gynaecologists are also obstetricians.
Gynecology and obstetrics are twin subjects that deal with the female reproductive system. While obstetrics deals with pregnancy and its associated procedures and complications, gynaecology involves treating women who are not pregnant.
Gynecology comprises of both medicine as well as surgical fields. While many of the gynaecological illnesses need hormonal and other pharmacological management, cancers, fibroids etc. require surgical removal.
In a total vaginal hysterectomy, the uterus is removed through the vagina using an incision concealed at the top of the vagina.
The surgeon uses this incision to introduce surgical instruments to detach the uterus and cervix and remove them through the vaginal opening.
Fallopian tubes and ovaries may also be removed through the same incision during the surgery, decreasing the risk of ovarian cancer. The incision at the top of the vagina is then closed using dissolvable stitches.
