abdominal hysterectomy AI Mode All Images Videos Short videos Shopping Forums News Books Web Maps Flights Finance Search tools Feedback AI Overview +9 An abdominal hysterectomy is a surgical procedure to remove the uterus through an incision in the abdomen. This "open" surgery involves a larger incision in the lower abdomen, which can be horizontal or vertical. It is often used for certain gynecological conditions and typically has a longer recovery time than minimally invasive options like vaginal or laparoscopic hysterectomy. What to expect Procedure: The uterus is removed through an incision in the abdominal wall. The surgeon may also remove the cervix, ovaries, and fallopian tubes during the same procedure. Incision: The incision is usually between six and twelve inches long, and can be either horizontal (just above the pubic bone) or vertical (from the belly button down). Hospital stay: Most patients stay in the hospital for two to four days. Recovery: Full recovery can take about six to twelve weeks. Patients are advised to avoid heavy lifting and to rest. Pain management: Pain and discomfort are managed with medication, potentially including a patient-controlled analgesia (PCA) pump initially and then oral pain relievers. Post-surgery and recovery Initial period: You may experience pain, nausea, and a drain in your abdomen to remove excess fluid, which is typically removed after 24 to 48 hours. Early movement: Early mobilization, such as sitting out of bed the day after the operation, is encouraged. Wound care: The dressing on your wound will likely be removed after 48 hours, and you can then shower and move around the ward. Common issues: You may experience trapped wind, which can be helped by walking, and constipation, which can be managed with laxatives. DVT prevention: Your doctor may administer a blood-thinning injection to prevent deep vein thrombosis (DVT). Key things to know Infertility: After a hysterectomy, you will no longer have periods or be able to become pregnant. Menopause: If your ovaries are removed, you will go through immediate surgical menopause. If they are left intact, you may experience menopause sooner than you would have naturally. Hormone replacement: Hormone replacement therapy (HRT) may be offered if you go through a surgical menopause. Dive deeper in AI Mode This is for informational purposes only. For medical advice or a diagnosis, consult a professional. AI responses may include mistakes. Learn more Mayo Clinic https://www.mayoclinic.org Abdominal hysterectomy 28 Feb 2023 — An abdominal hysterectomy is an operation that removes the uterus through a cut in the lower belly, also called the abdomen. People also ask What to expect after an abdominal hysterectomy? How serious is an abdominal hysterectomy? What are the side effects of a hysterectomy? What are the advantages of abdominal hysterectomy?

1. HYSTERECTOMY
Nikhita.C.P
Roll no. -56

2. Objectives :
• Definition
• Types
• Advantages
• Indications

3. Definition:
• Hysterectomy is the surgical removal of the uterus, with or
without removal of the cervix ,ovaries ,fallopian tubes and
surrounding structures.
• It is one the most commonly performed gynecologic surgical
procedures
• Hysterectomy done through Abdominal, vaginal or
laproscopic methods .

4. • Comparison of types :
• Vaginal vs Abdominal Hysterectomy
VAGINAL
HYSTERECTOMY
ABDOMINAL
HYSTERECTOMY
Return to normal activity Shorter Longer
Size of uterus Upto 16-18 weeks sized
uterus can be removed
Any size of uterus can be
removed

5. • Laparoscopic vs. Abdominal hysterectomy:
LAPAROSCOPIC
HYSTERECTOMY
ABDOMINAL
HYSTERECTOMY
Return to normal activity Shorter Longer
Incision Small incision Larger incision
Recovery Shorter Longer
Other disadvantages Difficulty to know extent of
thermal burns
-

6. Types :
• Depending upon the extent of removal of the uterus and
adjacent structures ,the following are the types :
TOTAL HYSTERECTOMY- Removal of the entire uterus .
SUBTOTAL HYSTERECTOMY- Supracervical hysterectomy,
removal of the body or corpus leaving behind cervix .
PANHYSTERECTOMY - Removal of uterus along with both
fallopian tubes and ovaries. Hysterectomy with bilateral
salpingo-oophorectomy.
EXTENDED HYSTERECTOMY- Panhysterectomy with
removal of cuff of vagina .

7. • RADICAL HYSTERECTOMY- Removal of uterus with fallopian
tubes and ovaries of both sides with upper one-third
vagina ,adjacent parametrium and the draining lymph node of the
cervix .
• Types of radical hysterectomy:
STRUCTURES
REMOVED
PARAMETRIU
M
VAGINA UTERINE
ARTERY
CLAMP
LYMPH NODES
Type 1 / A
Simple or TAH
Uterus and
cervix
Not removed Not removed At level of
internal os
Not removed
Type 2 / B
Modified
radical /
wertheim's
Uterus ,cervix,fa
llopian tubes,
ovaries
Medial half CL
and USL
removed
Upper 1/3rd
vagina removed
(1cm)
At the site of
ureteric branch
Removed
Type 3 /C
Radical
hysterectomy
Uterus ,cervix,fa
llopian tubes
ovaries
Complete
CLand USL
removed
Upper 2/3rd
vagina (2cm)
removed
At its origin Removed

9. Some considerations of hysterectomy
• Age and parity : Ideal condition is the patient in perimenopausal age
group with family completed .
• Total or subtotal : The preferred surgery is total hysterectomy,unless
there is sufficient reason to leave behind cervix
 Indications of subtotal hysterectomy (supracervical ):
 Difficult tubo-ovarian mass with obliteration of the anterior and
posterior pouch.
Pelvic endometriosis involving recto vaginal septum.
Emergency hysterectomy (cesarean hysterectomy) .
Prior cervical smear should be normal.

10. • Preservation of ovaries - Ovaries are preserved in
premenopausal women if found healthy
• Some however remove ovaries beyond age 45years , and
preserve the same before that age ,if found healthy .
• Special consedrations for removal of ovaries :
• If ovaries are diseased in inflammatory process ,advanced
endometriosis or involved in neoplastic conditions with patients
age more thn equal to 45years .
• Hysterectomy done in any age women having family history of
breast or ovarian cancer in first degree relative .
• Postmenopausal women as a routine .
• Hormonal replacement therapy is to be considered when ovaries
are removed .

12. • Removal of fallopian tubes :
• The uterine tubes are removed when ,ovaries are removed
(Salpingo-oophorectomy)
• when the tubes are diseased but ovaries preserved due to
young age and salpingectomy done .
• Risk reducing surgery - Prophylactic salpingectomy to
prevent ovarian cancer .

14. Indications of Abdominal Hysterectomy
• Benign lesions - Heavy menstrual bleeding ,Fibroid
uterus ,Tubo-ovarian mass ,Endometriosis, Adenomyosis, CIN
, Endometrial hyperplasia , Bening ovarian tumor in
perimenopausal age .
• Malignancy- Carcinoma cervix , Carcinoma endometrium ,
Carcinoma ovary ,Uterine sarcoma, Choriocarcinoma .
• Traumatic - Uterine perforation , Cervical tear , Rupture uterus
• Obstetrical - Atonic PPH , Placenta accreta spectrum ,
Hydatiform mole(>35 years ) , Septic abortion .

16. THANK YOU