The steps of the surgery are:2.
1. The abdominal hysterectomy begins via a surgical incision 6-8 inches long, made either vertically, running from the navel downwards or horizontally, running along the top of the pubic hairline and is popularly referred to as Pfannenstiel incision.
On entering the abdomen the attachments of the uterus and its blood supply are dissected and separated.3.
The blood vessels are tied to prevent bleeding and to help in healing.
The uterus and cervix are then separated from the surrounding pelvic tissues by applying instruments and cutting at different levels until the upper portion of the vagina is reached.5.
The top of the vaginal tissue is closed with sutures, and the surgical wound is closed in layers.
of an open abdominal procedure is that the surgeon can see the uterus and other organs and has more room to operate than if the procedure is done vaginally.
On the other hand, the disadvantages
of abdominal hysterectomy are:
Longer hospital stay.
Greater discomfort than following a vaginal procedure.
A visible scar on the abdomen.