During a hysterectomy, is general anesthesia or regional anesthesia used?

Patient's question:

My uterine fibroids have been fibrotizing too quickly, and the doctor recommended removing the uterus. I want to ask if general anesthesia or regional anesthesia is used during the hysterectomy?

Doctor's answer:

Hysterectomy is considered a level-4 surgical procedure in gynecological surgery (meaning it is a major operation), and in terms of anesthesia, general anesthesia is relatively the safest option. Under normal circumstances, doctors do not perform hysterectomy arbitrarily. While hysterectomy is certainly not ideal and carries certain complications, if the uterus exhibits abnormalities that affect daily life and conservative treatment is ineffective, or if it poses a threat to life, the uterus may need to be removed. After hysterectomy, fertility cannot be restored, and the loss of uterine support may lead to organ prolapse, such as bladder or vaginal prolapse. The surgery may also cause intestinal adhesions.

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