Types of Hysterectomy

What is a total abdominal hysterectomy? A total abdominal hysterectomy involves the surgical removal of the uterus and cervix through an abdominal incision. The incision is usually made along the bikini line (pubic hair line) although a vertical incision is sometimes used form below the navel to the pubic hair line. An abdominal incision increases hysterectomy recovery time and makes mobility more challenging when compared with a vaginal hysterectomy. Hysterectomy recovery time is usually a total of three months following a total abdominal hysterectomy and the first six weeks are usually the most challenging, with mobility and activities most restricted during this time.

What is a subtotal hysterectomy? A subtotal hysterectomy involves the surgical removal of the uterus without removing the cervix. Some women are concerned about sex after a hysterectomy. The cervix can be involved in orgasm and for some women, removal of the cervix may reduce sexual response.

What does a vaginal hysterectomy involve? A vaginal hysterectomy involves the surgical removal of the uterus and cervix through an incision high inside the vagina. A vaginal hysterectomy does not involve an abdominal incision which usually improves hysterectomy recovery time and makes post-operative mobility easier when compared with an abdominal hysterectomy.

What is a laproscopic hysterectomy? A laparoscopic-assisted vaginal hysterectomy involves the use of a fine telescope that is passed via small abdominal incision into your abdomen. Part of the surgery is conducted through small keyhole abdominal incisions and part is conducted as a vaginal hysterectomy. The uterus and cervix are both removed with this procedure. The advantage of this procedure is that it does not require a large abdominal incision which usually reduces hysterectomy recovery time when compared with an abdominal hysterectomy.

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