What To Expect During a Hysterectomy
The most common way a hysterectomy is performed is vaginally, although it can be done laparoscopically or abdominally. If needed, the ovaries and fallopian tubes may be removed at the time of hysterectomy; this procedure is called a salpingo-oophorectomy. If they appear normal at the time of surgery, the ovaries and tubes are usually left in place.
Vaginal hysterectomy — the uterus is removed through the vagina and there are no abdominal incisions which can result in fewer complications and a shorter recovery time.
Laparoscopic hysterectomy — several small incisions are made in the abdomen. Then a laparoscope (a thin rod with a camera attached) as well as other instruments are inserted through these small incisions. Depending on the type of surgery, the uterus is then removed in small pieces through these incisions or sometimes through a larger abdominal incision or the vagina (laparoscopically assisted vaginal hysterectomy – LAVH). For certain conditions, a robot-assisted laparoscopic hysterectomy is recommended.
Abdominal hysterectomy — the uterus is removed through a larger incision in the abdomen. This has an increased risk of complications and a longer hospital stay and recovery but may be necessary for certain conditions.