Some information provided by the American Congress of Obstetrics and Gynecology.

An abdominal hysterectomy is a surgical procedure that removes your uterus through an incision in your lower abdomen. Your uterus — or womb — is where a baby grows if you’re pregnant. A partial hysterectomy removes just the uterus, leaving the cervix intact. A total hysterectomy removes the uterus and the cervix.

Sometimes a hysterectomy includes removal of one or both ovaries and fallopian tubes, a procedure called a total hysterectomy

An abdominal hysterectomy may be recommended over other types of hysterectomy if:

  • Uterine fibroids (this is the most common reason for hysterectomy
  • Pelvic support problems (such as uterine prolapse)
  • Abnormal uterine bleeding
  • Chronic pelvic pain
  • Gynecologic cancer

What Are The Different Ways Hysterectomy Can Be Performed?

A hysterectomy can be done in different ways: through the vagina, through the abdomen, or with laparoscopy. The choice will depend on why you are having the surgery and other factors. Sometimes, the decision is made after the surgery begins and the surgeon is able to see whether other problems are present.

How Is A Laparoscopic Hysterectomy Done?

The newer and more sophisticated procedures use laparoscopy to assist the hysterectomy procedure. Laparoscopic surgery requires only a few small (about one-half inch long) incisions in your abdomen. In laparoscopic hysterectomy, the organs are visualized and manipulated through a laparoscope, and the uterus is removed either through the vagina or through a small incision in the stomach.

What Are The Benefits And Risks Of A Laparoscopic Hysterectomy?

Compared with abdominal hysterectomy, laparoscopic surgery results in less pain, has a lower risk of infection, and requires a shorter hospital stay. You may be able to return to your normal activities sooner. There also are risks with laparoscopic surgery. It can take longer to perform compared with abdominal or vaginal surgery, especially if it is performed with a robot. Also, there is an increased risk of injury to the urinary tract and other organs with this type of surgery.

Is A Hysterectomy Safe?

Hysterectomy is one of the safest surgical procedures. As with any surgery, however, problems can occur:

  • Fever and infection
  • Heavy bleeding during or after surgery
  • Injury to the urinary tract or nearby organs
  • Blood clots in the leg that can travel to the lungs
  • Breathing or heart problems related to anesthesia
  • Death

Some problems related to the surgery may not show up until a few days, weeks, or even years after surgery. These problems include; formation of a blood clot in the wound or bowel blockage. Complications are more common after an abdominal hysterectomy.

We encourage women to opt for the least invasive technique that is available to them. Contact us if you have further questions or would like to set up an appointment.