What are the three surgical approaches to hysterectomy?
Approaches to hysterectomy may be broadly categorised into four options: abdominal hysterectomy (AH); vaginal hysterectomy (VH); laparoscopic hysterectomy (LH) where at least some of the operation is conducted laparoscopically (Garry 1994), and robotic‐assisted hysterectomy (RH).
How do you perform an abdominal hysterectomy?
During abdominal hysterectomy, your surgeon makes a vertical or a horizontal incision in your lower abdomen. A vertical incision (left) gives the surgeon greater access to your pelvis. A horizontal incision (right) follows your skin’s natural lines, usually leaving a thinner scar.
What are the different ways to perform a hysterectomy?
A hysterectomy can be done in different ways: through the vagina, through the abdomen, or with laparoscopy. The choice will depend on why you are having the surgery and other factors. Sometimes, the decision is made after the surgery begins and the surgeon is able to see whether there are other problems.
What type of incision is used for a hysterectomy?
Abdominal hysterectomies are performed through a large abdominal incision. Typically, the surgeon makes a horizontal cut above the pubic hairline, but they may also do it vertically from the top the hairline to the belly button. Both of these incisions leave a visible scar.
How many incisions are needed for a robotic hysterectomy?
During a robotic hysterectomy, your surgeon makes five small incisions in your abdomen to provide access for surgical tools. Through these incisions, your surgeon detaches your uterus and possibly your ovaries and fallopian tubes from surrounding tissues.
Is vaginal or abdominal hysterectomy better?
Vaginal hysterectomy involves a shorter time in the hospital, lower cost and faster recovery than an abdominal hysterectomy, which requires an incision in your lower abdomen. However, depending on the size and shape of your uterus or the reason for the surgery, vaginal hysterectomy might not be possible.
How long will my belly be swollen after hysterectomy?
You will probably notice that your belly is swollen and puffy. This is common. The swelling will take several weeks to go down. It may take about 4 to 6 weeks to fully recover.
What position are you in during a abdominal hysterectomy?
Patient is laid in the supine position and urethral catheter is inserted for continuous bladder drainage. Keeping the bladder empty is very important for safe operation.
How big is a hysterectomy incision?
When You’re In the Hospital This is called a hysterectomy. The surgeon made a 5- to 7-inch (13- to 18-centimeter) incision (cut) in the lower part of your belly. The cut was made either up and down or across (a bikini cut), just above your pubic hair.
How big is an incision for a hysterectomy?
How many incisions do you need for a laparoscopic hysterectomy?
What is a laparoscopic hysterectomy? During a laparoscopic hysterectomy, the surgeon maneuvers instruments that are inserted through special ports in the patient’s abdomen. Typically, three dime-sized incisions are needed to place the various laparoscopic devices inside the patients.
How bad is the pain after a robotic hysterectomy?
For the first few weeks after surgery, some women experience cramps and pain, but this should not be severe. There can be light vaginal bleeding for one to two weeks. You are encouraged to start walking the day after surgery and can expect to return to normal activities and work within three to four weeks.