How is a hysterectomy performed?

There are four types of hysterectomy operation:

  • A “subtotal hysterectomy” removes the uterus leaving the cervix in place. If you have this operation you will need to continue to have smear tests.
  • A “total hysterectomy” removes the complete uterus including the cervix, this is the operation most commonly performed.
  • A “total hysterectomy with bilateral or unilateral salpingo-oopherectomy” removes the uterus, cervix, fallopian tubes and both or one of the ovaries.
  • A “wertheims hysterectomy” removes the uterus, cervix, part of the vagina, fallopian tubes, peritoneum ( this is the broad band of ligament below the uterus), the lymph glands and fatty tissue of the pelvic region.

The operation is usually performed under general anaesthetic, however it can also be performed with with an spinal block which is an anaesthetic where the needle passes through the dural membranes into the cerebral spinal fluids which surround the spinal cord; once released, the drug acts within a few seconds and there is a complete block to all the motor and sensory functions.

In addition to the different types of operation, there are a number of different ways to perform a hysterectomy. The most common way is to remove the uterus through a cut in the lower abdomen, the second, less common, way is to remove the uterus only through a cut in the top of the vagina, the top of vagina is then stitched. Each operation lasts between one to two hours and is performed, in hospital, under a general anaesthetic.

Recommended Reading:

star buy101 Handy Hints for a Happy Hysterectomy – £7.00 from The Hysterectomy Association. This is essential reading and tell you everything you need to know about the menopause after a hysterectomy.

Recommended Resources:

15 thoughts on “How is a hysterectomy performed?

  1. Hi Marilyn,

    I am aged 67 and like you I also had a prolapse. I had my uterus and ovaries removed (vaginally) eight weeks ago. I feel really well now and glad I had it done.

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