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Hysterectomy / Surgical Removal Of Uterus

Written by Dr. Anitha Paderla | Medically Reviewed by Dr. Sunil Shroff, MBBS, MS, FRCS (UK), D. Urol (Lond)
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Hysterectomy - Surgical Operation

The steps of the surgery are:

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.

2. 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.

4. 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.

The advantage 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.

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Comments

shanthi-, India

Is hysterectomy done in esi hospital?

evely, United States

i need to speak to someone that could answer my question, about hysterectomy...im in need to meet a support group of people that been throug this procedure' can you please help me?i live in bronx ny.please replied as soon as possible.thank you.

Gina13, United States

I have yet to make the life changing decision at 36 to proceed with a total hysterectomy. It has no less than consumed my body and mind. I'm at war with myself fighting to keep these thoughts and feelings from reaching my spirit. I'm desperate to find a support group. There has to be another alternative that doesn't consist of man-made synthetic drugs or the removal of my womanhood. I suffer from Endometriosis, fibroids, scar tissue and cysts. I had a D&C, ablasion and my left fallopian tube killed in January. It does not seem to have done any good.

carinprice77, Spain

I HAVE HAD ABD. HYSTERECTOMY AND HAS A TERRIBLE SCAR cOULD A LIP0SUCTION AND TUMMY TuCK MAKE IT LESS OBVIOUS?

callliz, United States

My friend was diagnoised with inflamatory breast cancer march 08. this past dec. she had a hysterecomy. surgery was on the 15th and by New years day she was still bleeding heavily.Is this normal to bleed that much, almost a month after surgery?



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