Abdominal hysterectomy

Abdominal hysterectomy refers to any hysterectomy operation carried out through a cut in the abdominal wall. The uterus (womb) is removed, and in some cases the ovaries, fallopian tubes, ligaments and cervix may be removed as well; although this will depend on the reason the hysterectomy became necessary.

In most cases an abdominal hysterectomy is undertaken by what’s called a bikini line incision, this is where the gynaecologist cuts through the abdomen from horizontally at the level you’d normally wear a pair of bikini bottoms. This is the least invasive of the abdominal hysterectomy procedures.

However, in some cases, particularly where the uterus (womb) is particularly large or bulky then it may be necessary to do what’s called a vertical incision. This type of incision runs from the chest area to the groin and allows a gynaecologist greater access to the abdominal cavity.

It takes longer to recover from an abdominal hysterectomy, and it is still the preferred technique in the UK, accounting for more than 32,000 hysterectomies in the UK in 2012. The reason for it’s preference could be due to various factors including, whether surgeons are trained in alternative techniques and the health problems women are presenting with.

According to our on-going hysterectomy recovery survey, women take between 11 and 14 weeks to return to work after an abdominal hysterectomy.

Recommended Reading:

star buyThe Pocket Guide to Hysterectomy – £5.50 from The Hysterectomy Association. This is essential reading and tell you everything you need to know about the menopause after a hysterectomy.

Recommended Resources:

27 thoughts on “Abdominal hysterectomy

  1. hi
    I’m 7 weeks post total abdominal hysterectomy due to fibroids and pressure on my ureter which has caused my left kidney to pack up. I’m 44 and currently taking HRT. Now every woman is different so its best to get as much information as possible remember ladies its your body. I didn’t need my overies removed or my cervix as they were very healthy but now I don’t have the worry or anxiety of smears.
    its the best thing I have ever done even though I needed it to save my remaining kidney.
    I feel like a new woman and ive got my female spark back if you know what I mean. Try the Hystersisters site. XX

    1. Hi
      I underwent a subtotal hysterectomy in July this year after suffering complications of pelvic inflammatory disease (it resulted in a turbo-ovarian abscess). My cervix was left as it hadn’t been affected by the abscess. I noticed in your comment that you also have your cervix but you have said you no longer need smear tests. My consultant has told me I will still need smears every 3 years as they look for cervical cancer so I’m just wandering why you say you no longer have to have them?
      Hope your recovery goes well ?

    2. Hi,
      I’m due to go into hospital for a full hysterectomy, ovaries and all. Can I ask at what point you started HRT. I would like to start it straight away but they don’t recommend it due to the risk of developing a blood clot. There is a history of osteoporosis in my family so I’m keen to get started as soon as possible. Any advice greatly received.

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