Hysterectomy

A hysterectomy is an operation to remove your uterus [womb].

A hysterectomy can be done through:

  • Laparoscopic [keyhole] approach
  • Vaginal approach
  • Abdominal open approach via laparotomy

Keyhole surgery is when gynaecologist inserts a small telescope and tiny surgical instruments through 2 or 3 small cuts [5 mm] in your tummy to carry out the procedure. 

Hysterectomy is further subtyped into:

  • A supracervical or subtotal hysterectomy where the cervix is kept.  Thus a patient will require regular smear tests after hysterectomy.
  •   A total hysterectomy removes the whole uterus and cervix.  As the cervix is removed patient does not require smear test after hysterectomy unless clinically indicated.
  • A radical hysterectomy, a surgeon removes the whole uterus, tissue on the sides of the uterus, the cervix, and the top part of the vagina. Radical hysterectomy is generally only done where cancer is present.

The ovaries may also be removed [oophorectomy] or may be left in place. 

Following the surgery you will stay in hospital for 24 to 48 hours.  In general, recovery may take between 2 to 6 weeks.

Laparoscopic Hysterectomy for a patient who has 12 weeks size multiple fibroid uterus

Post laparoscopic hysterectomy with excision of both fallopian tubes and conservation of ovaries for the same patient

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Laparoscopic Hysterectomy for a patient who has 12 weeks size multiple fibroid uterus

 

 

Post laparoscopic hysterectomy with excision of both fallopian tubes and conservation of ovaries for the same patient