Recovery times can also vary depending on the type of hysterectomy. Abdominal hysterectomy. Types of hysterectomy surgery A partial hysterectomy top left removes just the uterus, and the cervix is left intact. A total hysterectomy top right removes the uterus and cervix. At the time of a total hysterectomy, your surgeon may also remove the ovaries and fallopian tubes bottom.
Abdominal hysterectomy: Surgeons will make a 5- to 7-inch incision vertically or along the bikini line in your abdomen. The blood vessels and structures supporting the uterus will be detached, and the uterus is removed through the incision.
Total hysterectomy plus unilateral salpingo-oophorectomy: The uterus and cervix are removed completely. One fallopian tube and one ovary are removed as well, and one fallopian tube and one ovary are left intact. Walking is encouraged, but not heavy lifting. You will need to abstain from sex for at least 6 weeks. Laparoscopic supracervical hysterectomy LSH. The lower part of your uterus cervix is usually removed total hysterectomy but may sometimes be left in place partial hysterectomy.
If necessary, your surgeon may remove additional pelvic organs and tissue, such as your ovaries or fallopian tubes. Before surgery, you may have tests done to check for cancer, which could change your surgeon's approach to surgery. Tests may include:. The day before and morning of your surgery, you will be instructed to shower using soap provided by your surgeon to reduce your risk of infection.
A preoperative cleansing of your vagina vaginal douche or preoperative cleansing of your rectum enema also may be done. Immediately before surgery, you'll receive an intravenous antibiotic medication to minimize your risk of infection after the procedure. During abdominal hysterectomy, your surgeon makes a vertical or a horizontal incision in your lower abdomen. A vertical incision left gives the surgeon greater access to your pelvis.
A horizontal incision right follows your skin's natural lines, usually leaving a thinner scar. A hysterectomy typically is performed under general anesthesia, so you won't be awake during the surgery. The procedure itself generally lasts about one to two hours, although you'll spend some time beforehand getting ready to go into the operating room.
To begin the procedure, a member of your surgical team passes a urinary catheter through your urethra to empty your bladder. The catheter remains in place during surgery and for a short time afterward. Your abdomen and vagina are cleaned with a sterile solution before surgery. To perform the hysterectomy, your surgeon makes a cut incision in your lower abdomen, using one of two approaches:. The type of incision depends on many factors, including the reason for your hysterectomy, the need to explore the upper abdomen, the size of your uterus and the presence of any scars from prior abdominal surgeries.
For instance, hysterectomies performed for endometriosis, large fibroids and gynecologic cancers are done mainly through a vertical incision. An abdominal hysterectomy usually requires a hospital stay of one to two days, but it could be longer. You'll need to use sanitary pads for vaginal bleeding and discharge. It's normal to have bloody vaginal drainage for several days to weeks after a hysterectomy. However, let your surgeon know if you have bleeding that's as heavy as a menstrual period or bleeding that's persistent.
It takes time to get back to your usual self after an abdominal hysterectomy — about six weeks for most women. During that time:. Other parts of your life will likely return to normal or perhaps improve once you've recovered from your hysterectomy.
For example:. On the other hand, you may feel a sense of loss after hysterectomy. Premenopausal women who must have a hysterectomy to treat gynecologic cancer may experience grief and possibly depression over the loss of fertility.
If sadness or negative feelings begin to interfere with your enjoyment of everyday life, talk with your doctor. Abdominal hysterectomy care at Mayo Clinic. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version.
This content does not have an Arabic version. Overview Types of hysterectomy surgery Open pop-up dialog box Close. Types of hysterectomy surgery A partial hysterectomy top left removes just the uterus, and the cervix is left intact.
Female reproductive system Open pop-up dialog box Close. Female reproductive system The ovaries, fallopian tubes, uterus, cervix and vagina vaginal canal make up the female reproductive system. Request an Appointment at Mayo Clinic. Abdominal hysterectomy incisions Open pop-up dialog box Close.
Abdominal hysterectomy incisions During abdominal hysterectomy, your surgeon makes a vertical or a horizontal incision in your lower abdomen. Share on: Facebook Twitter. Show references Walters MD. Choosing a route of hysterectomy for benign uterine disease.
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