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Hysterectomy (cont.)

Hysterectomy Procedure

All hysterectomies are performed under regional or general anesthesia in a hospital operating room.

A number of different procedures for hysterectomy are used. Some require standard surgical incisions while others are performed primarily via laparoscopy with small abdominal incisions for insertion of the laparoscope and other surgical instruments.

  • Total abdominal hysterectomy (TAH) is the removal of the uterus and cervix through an abdominal incision that is 6-8 inches in length.
  • Supracervical or subtotal hysterectomy is removal of the uterus while sparing the cervix (the opening of the uterus into the vaginal or birth canal). This can be done laparoscopically or via standard surgical incisions.
  • Radical hysterectomy is used in the treatment of cancer and includes removal of some surrounding tissues. This is most commonly performed via an abdominal incision, but it or can be done with laparoscopic or robot-assisted laparoscopy techniques.
  • Vaginal hysterectomy is removal of the uterus and the cervix through the vagina. This procedure involves an incision in the upper vagina. in many cases, the tubes and ovaries can also be removed vaginally.
  • Laparoscopic hysterectomy (LH) involves removal of the uterus by laparoscopic (minimally invasive) techniques. This procedure requires several tiny incisions below the area of the navel for insertion of the viewing laparoscope and the surgical instruments. In order for the surgeon to observe the inside of the body clearly, the abdominal cavity is inflated with a gas (usually carbon dioxide). The uterus is then either extracted vaginally or through the small abdominal incisions by division into smaller pieces.
  • Laparoscopy-assisted vaginal hysterectomy (LAVH) is vaginal hysterectomy with the assistance of laparoscopic techniques as described above.
  • Oophorectomy is the surgical removal of the ovary(s); salpingo-oophorectomy refers to is the removal of the ovary(s) and the Fallopian tube(s). These procedures may be performed at the same time as hysterectomy if indicated.
Medically Reviewed by a Doctor on 12/15/2015

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