What is an Abdominal Hysterectomy Surgery

What is Abdominal Hysterectomy Surgery?

An abdominal hysterectomy surgery is basically a surgical procedure that uses an incision in the abdomen to remove the diseased uterus. This procedure may be done to remove the entire uterus and cervix (total/complete hysterectomy) or to remove only the uterus (partial hysterectomy) while leaving the cervix intact. A hysterectomy may also involve removal of one or both fallopian tubes as well as the ovaries. This procedure is also known as total hysterectomy with salpingo-oophorectomy.

What is the need for an Abdominal Hysterectomy Surgery?

An abdominal hysterectomy is usually suggested when:
  • The uterus is large
  • Pelvic organs need to be checked for other disorders or diseases
  • The surgeon feels it is the best option in your individual case due to various reasons
An abdominal hysterectomy is basically needed to treat:
  • Gynecological Cancer – In case you are suffering from a form of gynecological cancer, such as uterine or cervical cancer, a hysterectomy is the best treatment option for you.
  • Fibroids – Uterine fibroids are known to be treated permanently and efficiently with an abdominal hysterectomy. These fibers are known to cause various painful and discomforting complications such as bleeding, pelvic pain and anemia, etc.
  • Endometriosis – This disorder causes the endometrium (inner tissue lining) of the uterus to grow abnormally and shift outside of the uterus to cover the ovaries, fallopian tubes as well as other pelvic organs. In case, other non-surgical options are unsuccessful in treating this disorder then the doctor may suggest an abdominal hysterectomy to treat it successfully.
  • Uterine prolapse – in case the supporting ligaments and tissues get weakened the uterus is likely to descend into the vagina. This may cause various complications such as pelvic pressure, urinary incontinence difficult bowel movement, etc. An abdominal hysterectomy is usually recommended in this situation for successful treatment.
  • Abnormal vaginal bleeding – In case you are experiencing abnormally heavy, prolonged or irregular menstrual bleeding in each cycle, an abdominal hysterectomy is used to provide relief from these conditions if other treatment methods have failed.
  • Chronic pelvic pain – In case you are suffering from chronic pelvic pain that is seen to arise from the uterus then an abdominal hysterectomy is recommended to relieve it.
It is important to remember that a hysterectomy will end your ability to get pregnant so if you have plans for future pregnancy it is advisable to consult the doctor/gynecology specialist about the various advantages and possible drawbacks of an abdominal hysterectomy surgery.

What are the risks associated with an Abdominal Hysterectomy Surgery?

Generally, an abdominal hysterectomy is safe however, there are rare chances of certain risks occurring after this procedure, such as:
  • Blood clots
  • Infection
  • Anesthetic allergy
  • Excessive bleeding
  • Urinary tract damage
  • Pelvic organ damage
  • Early onset of menopause 

What is an Abdominal Hysterectomy Surgery procedure like?

An abdominal hysterectomy procedure is performed under general anesthesia to avoid discomfort or pain to the patient. The surgeon will then use a sterile solution to clean the abdominal and vaginal cavity as well as use a urinary catheter to empty the bladder. The surgeon will require making a small cut in the lower abdomen, using one of the following methods:
  • Vertical incision – This begins in the mid-abdomen and is extended from just below the navel to above the pubic bone.
  • Bikini-line/Horizontal incision – This incision is along, and just above, the pubic bone.
There are various factors that decide the type of incision that is to be used for the abdominal hysterectomy, such as the reason for the hysterectomy, size of uterus, scar tissues, etc. The doctor uses these incisions to access the uterus mainly, and the other pelvic organs such as the fallopian tubes, cervix, etc, and remove them if necessary in the most convenient and efficient manner. Abdominal hysterectomy surgery has been found to be the most effective and convenient method to treat a large number of disorders that affect the uterus and the other surrounding pelvic organs in the body.
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