About Total Hysterectomy

Total Hysterectomy is a surgical procedure to remove  the uterus.

  • Type of procedure: It Can be a open Surgery or minimally invasive (Laparoscopy)
  • Recovery time: Can take several weeks
  • Duration of the Surgery : It takes About 1-3 hours, Depending upon the Complexity .
  • Hospital stay:  The Patient Could Typically stay for a few days 

What to expect before The Total Hysterectomy procedure

  • The doctor explains the details of the procedure, its benefits, and risks/complications.
  • Various Blood and urine tests are performed.
  • An intravenous (IV) line is placed in the arm to deliver fluids and medicines.
  • Hair in the pelvis area is clipped.

What to expect during procedure

  • A local anesthesia that numbs the lower body or a general anesthesia that affects the entire body is given.
  • An abdominal open surgery involves making a 5 to 7 inch horizontal or vertical incision through the abdominal wall and removal of uterus.
  • Minimally invasive procedures include vaginal surgery and laparoscopic surgery.
  • Vaginal surgery is where the uterus is removed through a cut at the top of the vagina leaving no visible scar.
  • Laparoscopic surgery (keyhole surgery) involves removal of the uterus through several small cuts in the abdomen.

What to expect after procedure

  • After the surgery, the hospital stay might last up to 5 days.
  • Do not lift anything heavy, such as shopping bags or babies/toddlers for at least 6 weeks or as long as the doctor instructs.
  • Abstain from sex for 6 weeks after the surgery.
  • If the ovaries are also removed, the woman enters menopause.

Risks and Complications

Complications are rare and may include:

  • Adverse reaction to the anesthetic
  • Infection
  • Bleeding
  • Injury to neighboring organs/tissues such as the bladder, intestines and blood vessels
  • There is a risk of urinary incontinence, vaginal prolapse, fistula formation and chronic pain.
  • Hysterectomy cannot be performed in patients who want to have children