total abdominal hysterectomy
A total abdominal hysterectomy is a surgical procedure in which the uterus and cervix are removed through an incision made in the abdomen. It is commonly performed to treat conditions such as uterine cancer, fibroids, endometriosis, abnormal bleeding, or chronic pelvic pain. Unlike a vaginal hysterectomy, this method requires an external incision, which may result in a longer recovery time and more post-operative discomfort.
In some cases, the ovaries and fallopian tubes may also be removed, depending on the patient’s condition and medical history.
The surgery is carried out under general anaesthesia. The surgeon makes an incision in the abdomen to access the uterus. The uterus is then carefully separated from surrounding tissues, ligaments, and blood vessels. Once detached, the uterus is removed through the abdominal incision.
The incision is then closed with stitches or staples, and the patient is monitored during recovery. In some cases, the ovaries and fallopian tubes may also be removed, depending on the patient’s condition. The procedure typically takes around one to three hours, depending on the complexity of the surgery.
Patients typically stay in the hospital for two to four days following a total abdominal hysterectomy, though some may be discharged earlier depending on their recovery. It is normal to experience some abdominal discomfort, bloating, and mild bleeding in the initial weeks after surgery. Most patients can return to light activities within four to six weeks, but strenuous exercise and heavy lifting should be avoided for at least six to eight weeks.
Full recovery can take up to eight weeks or more, depending on the individual. During the recovery period, patients are advised to avoid sexual intercourse and the use of tampons. Follow-up appointments will be scheduled to ensure proper healing and monitor for any complications.
As with any surgery, a total abdominal hysterectomy carries some risks. Possible complications include infection, excessive bleeding, blood clots, or injury to nearby organs such as the bladder, intestines, or ureters. Some patients may experience changes in bowel or bladder function, and there is a small risk of developing hernias or adhesions. If the ovaries are removed, menopausal symptoms may occur, including hot flashes, mood changes, and vaginal dryness.
Patients should seek medical attention if they experience severe pain, heavy bleeding, fever, or signs of infection following the procedure.
For more information, or to discuss whether a total abdominal hysterectomy is the right option for you, please book a consultation.
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