Abdominal hysterectomy. An operation to remove your womb (uterus) through a cut in your abdomen (tummy).
At Kingsbridge Private Hospital Belfast, you will meet with our expert gynaecologists who will discuss the procedure and your care.
There are a number of reasons why many women consider having abdominal hysterectomy surgery, these may include the following.
- Irregular or heavy menstrual bleeding, but only if other treatments haven’t worked.
- Endometriosis. A condition in which cells that usually line your womb grow elsewhere in your abdomen.
- Adenomyosis. This is a benign condition in which cells that usually line your womb grow in the womb muscle causing painful, heavy periods.
- Cancer of your womb, ovary, fallopian tube or cervix (neck of the womb).
- Fibroids (non-cancerous growths of muscle and fibrous tissue in your womb) that are painful, cause bleeding or are very enlarged.
- Pelvic organ prolapse. This is when your womb, rectum or bladder drops out of position into your vagina.
An abdominal hysterectomy involves removing your womb through a cut in your abdomen. There are different types of hysterectomy.
- Total hysterectomy involves removing your entire womb and your cervix.
- Subtotal (also known as partial or supracervical) hysterectomy in which the top part of your womb is removed but your cervix is left in place.
- Total hysterectomy with oophorectomy is when your entire womb, cervix and one or both ovaries are removed.
- Radical hysterectomy is when your womb, cervix, part of your vagina, surrounding ligaments and occasionally your lymph nodes are removed.
You may be able to have the operation done with keyhole surgery.
What are the alternatives to abdominal hysterectomy?
A hysterectomy procedure at Kingsbridge Private Hospital Belfast will usually be recommended if other treatments, such as medicines or other surgery, are unsuitable or haven't worked.
Alternative hysterectomy techniques to an abdominal hysterectomy are:
- vaginal hysterectomy – the procedure is done through your vagina
- keyhole hysterectomy – the procedure is done through small cuts in your abdomen and often in combination with vaginal hysterectomy
Ask your gynaecologist for advice about which surgery will be most suitable for you.
Preparing for an abdominal hysterectomy
Your gynaecologist will explain how to prepare for your procedure. For example if you smoke, you will be asked to stop, as smoking increases your risk of getting a chest and wound infection, which can slow your recovery.
The procedure is usually done under a general anaesthetic at Kingsbridge Private Hospital. You will be asked to follow fasting instructions which means not eating for about six hours before surgery.
It may be possible to have the operation done under epidural. This is an injection into the space surrounding your spinal cord and numbs your body from the waist downward.
What happens during an abdominal hysterectomy?
The operation at Kingsbridge Private Hospital usually takes about an hour. However, this may vary depending on why you’re having a hysterectomy as this will determine the complexity of the surgery.
Your gynaecologist will probably make a horizontal cut (between 10 and 16cm long) across your lower abdomen, just below your bikini line. In some cases it may be necessary for your gynaecologist to make a vertical cut from your belly button down to your bikini line instead. The womb is then removed and stitched. Our experts will discuss this with you before the operation so you are reassured and informed.
What to expect after surgery
You will need to rest until the effects of the anaesthetic have passed after your surgery at Kingsbridge Private Hospital. Pain relief may be required to help with any discomfort.
The dressing on your wound normal can be removed after 24 hours. Clips or stitches will be taken out at an appointment five to seven days after your operation but dissolvable stitches may be used instead. Dissolvable stitches can take a few days to a few weeks to disappear depending on the type used.
You will probably stay in hospital for up to four days. Before you go home, our nurses will advise you about caring for your wounds and a follow-up appointment may be arranged.
Recovering from an abdominal hysterectomy
The length of time it takes to recover will be different for every woman. It can take a couple of months to recover fully. Most women find they are able to return to work between four and eight weeks after the operation.
If you had a keyhole procedure, you will probably be able to return to your usual activities sooner than if you had open surgery. The type of surgery will depend on individual circumstances which will be discussed in full at your consultation.
You may have some abdominal or back pain for a few weeks after your operation. If you need pain relief, you can take over-the-counter painkillers such as paracetamol or ibuprofen. Always read the patient information that comes with your medicine and if you have any questions, ask your pharmacist for advice.
Following surgery you should take it easy for a few days. It is common to feel more tired than usual so rest is recommended. Our physiotherapists may have given you exercises to do, try to continue with these. Do not lift any heavy items but lighter items can be lifted i.e. a kettle. We recommend that a friend or relative stay with you for the first few days while you recover.
What are the risks?
As with every type of surgical procedure, there are some risks associated with an abdominal hysterectomy. Risks are specific to you and will be discussed at your consultation.
Side-effects of an abdominal hysterectomy include:
- pain, swelling and bruising in your abdomen
- bleeding or blood-stained vaginal discharge
- numbness, tingling or a burning sensation around your scar
If your ovaries have been removed during the operation, you will have menopausal symptoms such as hot flushes, night sweats and vaginal dryness. Your Consultant will discuss this with you and help offer advice.
You will also have a permanently visible scar – this will be red and slightly raised to start with, but should soften and fade over time. This will usually settle down after about six to 12 months.
Complications are rare but possible complications of any operation include an unexpected reaction to the anaesthetic, excessive bleeding or developing a blood clot, usually in a vein in the leg (deep vein thrombosis, DVT).
Specific complications of an abdominal hysterectomy may include:
- Blood loss. You may need further treatment, such as a second operation, to stop the bleeding.
- Damage to other organs and tissues in your abdomen, particularly your bowel, bladder and ureters (the tubes that carry urine from your kidneys to your bladder). This can cause incontinence or a need to urinate frequently.
- A wound or urinary infection. You will need to take antibiotics to treat this.
- Premature ovarian failure. There is a risk that your ovaries won’t work properly because they receive some of their blood supply through the womb.
- A blood clot. These develop most commonly in the leg
At Kingsbridge Private Hospital Belfast we endeavour to provide patients with a Five Star service and state-of-the-art facilities. We ensure you are in the best hands available.
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