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Dr Beena Dandawate

Services > Hysterectomy

Hysterectomy



During Surgery

There are three different approaches for performing a hysterectomy, abdominal,vaginal and laparoscopic assisted vaginal.

Abdominal Hysterectomy

Your skin will be washed with antiseptic and the surrounding area covered with sterile drapes, this ensures that the operating field is clean and sterile.

Dr Dandawate will make an incision below the bikini line and retract the skin using special instruments to expose the uterus.

The uterus will be cut out carefully and any relevant tissues sutured and cauterized. The fallopian tubes and ovaries may also need to be removed, depending on the condition.

After that is complete, the opening in the abdomen will be sutured with dissolvable sutures. A small urinary catheter may be left overnight. In some patients the scar can just appear as a natural wrinkle in the skin.

The usual hospital stay for abdominal hysterectomy is 2-3 days, depending on your age and health in general. You should be free to walk around and eat provided you feel up to it.

Laparoscopic assisted vaginal Hysterectomy

Your skin will be washed with antiseptic and the surrounding area covered with sterile drapes, this ensures that the operating field is clean and sterile.

Three small incisions (5-10mm) will be made in the abdomen. The abdomen will be inflated with carbon dioxide gas to create space to move the instruments around.

One of the holes is used for the camera (the laparoscope) and the other for surgical instruments.

The uterus will be cut out carefully and any relevant tissues sutured and cauterized. The fallopian tubes and ovaries may also need to be removed, depending on the condition. Part of this is done through the keyholes and part through the vagina.

After that is complete, the openings in the abdomen and vagina will be sutured with dissolvable sutures. The scarring will be very small due to the small incisions.

The recovery time from laparoscopic assisted vaginal hysterectomy can be as quick as one day, depending on your age and health in general. You should be free to walk around and eat provided you feel up to it.

Vaginal Hysterectomy

Your skin will be washed with antiseptic and the surrounding area covered with sterile drapes, this ensures that the operating field is clean and sterile.

Specially designed instruments are passed through the vagina, these will then be used to remove the uterus. Sutures will be placed in the vagina to close afterwards. A small tampon type dressing known as a pack may also be inserted.

The recovery time from vaginal hysterectomy is usually one or two days, depending on your age and health in general. You should be free to walk around and eat provided you feel up to it.

After Surgery

You should expect a follow up appointment with Dr Dandawate around 6 weeks following the surgery as a check up.

After a hysterectomy, you will not have any periods and the pelvic pain will most likely settle. If you were pre menopausal before the operation you may require Hormone Replacement Therapy if the ovaries are removed.