Abdominal Hysterectomy
What is a hysterectomy?
A hysterectomy is an operation to remove the
uterus. Usually the cervix is also removed. If necessary the
ovaries can be removed at the same time (see figure 1).
The common reasons for having an abdominal
hysterectomy include heavy periods, fibroids, endometriosis,
chronic pelvic inflammatory disease and ovarian cysts.
Figure 1 - Female reproductive organs
What are the benefits of surgery?
A hysterectomy may cure or improve your
symptoms. You will no longer have periods.
Are there any alternatives to surgery?
Heavy periods can be treated using oral
medications, a hormonal coil in the uterus, or by removing only the
lining of the womb.
Depending on the size and position of
fibroids, medication can be taken to try to control the symptoms.
Surgery to remove the fibroids and save the rest of the womb is an
alternative for women who still want children.
What does the operation involve?
An abdominal hysterectomy is usually performed
under a general anaesthetic. It usually takes about an hour. Your
surgeon will make a cut on your tummy, usually in the ‘bikini’
line.
They will remove your womb and cervix through
the cut. They will also need to make a cut at the top of your
vagina so they can remove your cervix.
What complications can happen?
1 General complications of any operation
- Pain
- Sickness
- Bleeding
- Infection
- Blood clots
- Unsightly scarring
2 Specific complications of this operation
- Damage to internal organs
- Developing a haematoma
Long-term problems
- Prolapse
- Continued pain
- Adhesions
- Menopause, even if your ovaries are not
removed
How soon will I recover?
You will usually be able to go home after four
to six days.
For the first two weeks at home you should rest
and continue to do the exercises that you were shown in
hospital.
You can usually go back to work after six to
twelve weeks. After three months you should be feeling more or less
back to normal.
Summary
A hysterectomy is a major operation usually
recommended after simpler treatments have failed.
Acknowledgements
Author: Mr Jeremy Hawe MBChB MRCOG
Illustrations: LifeART image copyright 2006
Lippincott Williams & Wilkins. All rights reserved.
This document is intended for information
purposes only and should not replace advice that your relevant
health professional would give you.
Copyright © 2008 EIDO
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