Total Abdominal Hysterectomy is when your uterus and cervix are removed; your ovaries are left in place. Total abdominal hysterectomy and bilateral salpingo-oopherectomy is when your uterus, cervix, ovaries and fallopian tubes are removed. You will be advised if you will need hormone replacement therapy.
Sub-total Hysterectomy is when your uterus is removed but your cervix is left in place. If you have this operation you will have to continue with your routine smear tests.The operation can be carried out in two ways - through a cut in your abdomen, usually the bikini line, but sometimes this has to be a midline cut (up and down).
Removal of the fallopian tubes is offered as recent evidence suggest that it may reduce the risk of subsequent ovarian cancer.
On admission to the ward a nurse will check your details are correct. The surgeon will talk to you and you will be invited to ask any questions you may still have.
- Your stay in hospital will usually be for up to 48 hours. It will be necessary to take regular pain relief to keep you comfortable for the first couple of weeks at least.
- It is important that you rest and avoid any heavy lifting whilst you recover. Having a gentle walk each day will help.
- Eating a healthy diet will avoid constipation. You are encouraged to drink plenty of fluids: 1½- 2 litres per day. Avoid alcohol.
- It is quite normal for you to feel a little down or tearful after the operation; this is because having a hysterectomy is both physically and emotionally stressful.
- You will be able to drive again after four to six weeks.
- Two to three months is the optimum time for recovery from abdominal surgery. If you follow the advice of the hospital staff, you should make a full recovery and resume a completely normal, active and unrestrictive lifestyle.
These will discussed with you at the time of consultation.
Relief of symptoms
Vaginal hysterectomy and laparoscopic assisted vaginal hysterectomy; laparoscopic hysterectomy.
NOTE: NHS criteria apply