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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

B. Minimally Invasive Techniques - Vaginal hysterectomy

In a vaginal hysterectomy, the uterus is removed through the vaginal route. Prior to surgery, the patient is given a spinal or a general anesthesia.

After anesthesia the woman is positioned in a legs flexed and apart position called the Lithotomy position.

  1. The skin surrounding the vagina is cleaned with an antibacterial solution.
  2. A surgical incision is then made in circular fashion around the cervix and through the upper vagina to expose the tissue and blood vessels around the cervix and uterus.
  3. The tissues and vessels are cut and tied to achieve Haemostasis (controlling bleeding)
  4. The uterus and cervix are then removed from the top of the vagina.
  5. The upper part of the vagina where the surgical incision was made is closed with suture material.

There is no visible scar in vaginal hysterectomy and healing is faster in compaision to abdominal hysterectomy.

The disadvantages are -

  •  There is less room for the surgeon to visualise and operate.
  •  It can only be used for smaller sized uterus
  •  It requires that adjoining organs like the bladder is not damaged.

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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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