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Hysterectomy

hysterectomy is the surgical removal of the uterus (womb). This results in the inability to become pregnant.

There are different types of surgeries, such as:

  • Supracervical hysterectomy — removal of the uterus only
  • Total hysterectomy — removal of the uterus and cervix (the opening of the uterus leading to the vagina)
  • Radical hysterectomy — removal of the uterus, ovaries, fallopian tubes, upper part of the vagina and the pelvic lymph nodes
  • Salpingo-oophorectomy — removal of the ovaries and fallopian tubes (may be combined with any of the above procedures)

Reasons for a Hysterectomy 

You may have a hysterectomy if your uterus is causing health problems that cannot be treated by other means. Some reasons a woman may have a hysterectomy to:

  • Treat cancers, such as uterine, endometrial and ovarian cancers
  • Remove uterine fibroids
  • Treat conditions, such as chronic pelvic pain and heavy bleeding

What to Expect

Open Abdominal Hysterectomy

Your surgeon makes a cut in your lower abdomen to cut the tissues and tie off the blood vessels that surround the uterus, before removing the uterus. Next, your surgeon sews the tissue back together and closes the skin with stitches or staples. If your surgeon must remove your cervix, you will also have stitches put in the back of your vagina. 

Open Vaginal Hysterectomy

This method does not involve any outside incisions. Your surgeon stretchs the vagina and keeps it open with special tools. Next, your surgeon ties off any connecting blood vessels before removing the uterus and cervix through the vagina. Lastly, your surgeon closes the top of the vagina with stitches.

The procedures may take between 1-3 hours. The average hospital stay varies: 

  • Abdominal hysterectomy: 3-5 days
  • Vaginal hysterectomy: 1-2 days

Your doctor may choose to keep you longer if you have any complications.

POST-PROCEDURE CARE

With each procedure, you'll receive vaginal packing (sterile gauze) that your surgeon removes after 1-2 days.

While you are recovering at the hospital, you may receive the following care:

  • Your care team may instruct you to sit up in bed and to walk a short distance.
  • You may have your IV removed the next morning.
  • You may need to wear special stockings or boots to help prevent blood clots.
  • You may have a catheter to help you urinate.

AT HOME

During the first few days, you may have pain, bloating, vaginal bleeding and vaginal discharge.

When you return home, do the following to help ensure a smooth recovery:

  • Take proper care of the incision site to prevent an infection.
  • Ask your doctor about when it is safe to shower, bathe or soak in water.
  • During the first two weeks, rest and avoid lifting.
  • Slowly increase your activities.
  • To promote healing, eat a diet rich in fruits and vegetables. Ask your doctor if you need to take iron.
  • Ask your doctor when you can use tampons. Also ask about Kegel exercises.
  • Wait six weeks before resuming sexual activity.

Recovery from open abdominal hysterectomy usually takes 6-8 weeks.

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