Types of Surgery for Hysterectomy

Abdominal Hysterectomy
This is done through a cut in the abdomen which may be horizontal in the bikini line or vertical from the belly button. Abdominal hysterectomy may include removal of the uterus, ovaries, fallopian tubes and cervix in which case it is a Total Abdominal Hysterectomy and bilateral salpingo-oophorectomy.  If the cervix is left behind it is an abdominal sub-total hysterectomy and can be done with or without removal of the ovaries and fallopian tubes

Vaginal hysterectomy
The uterus is removed through the vagina and there is no visible scar.  The ovaries and fallopian tubes may be removed at the same time but can be difficult if access is poor or there is no prolapse or there has been previous surgery.This procedure is very often done in conjunction with a vaginal repair for prolapse of the uterus and the vaginal walls

Keyhole (Laparoscopic) Hysterectomy
For this for surgery 3 or 4 small incisions are made on the abdomen and in the belly button.  The abdomen is filled with carbon dioxide gas which makes a space for the surgeon to be able to see inside the abdomen.  To do this he uses a telescope with a camera lead which transmits the picture onto a video monitor.  The options for laparoscopic hysterectomy are laparoscopically assisted vaginal hysterectomy (part laparoscopic, part vaginal), total laparoscopic hysterectomy (the uterus and cervix are removed) or laparoscopic subtotal hysterectomy (the cervix remains) all of which may be with or without the removal of the ovaries and the fallopian tubes.


Why have a hysterectomy?

The vast majority of women who have a hysterectomy for a genuine reason have a vastly improved quality of life afterwards and wish they had had it done much sooner.

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