A hysterectomy is a surgical procedure that removes your uterus, containing the fibroids. A partial hysterectomy removes just the uterus, and the cervix is left intact. A total hysterectomy removes the uterus and cervix. Sometimes a hysterectomy includes removal of one or both ovaries and fallopian tubes, a procedure called a total hysterectomy with salpingo-oophorectomy.
A hysterectomy can be performed through the abdomen (abdominal hysterectomy), through an incision in the vagina (vaginal hysterectomy) or by a laparoscopic surgical approach — which uses long, thin instruments passed through small abdominal incisions.
Hysterectomy - THE FACTS
Open abdominal surgery/ keyhole surgery.
Oxygen mask to help you breathe. A drip in the arm to give blood and fluids. A temporary bladder catheter. a drain from the wound. A pain-relief pump for when you wake up
Will I still have periods
Can the fibroids grow back
How long will I stay in Hospital
Feeling tired or weak.
Feeling ‘low’ and emotional.
Vaginal discharge or bleeding for up to 10-14 days.
changes in bowel Patterns up to several weeks.
Uterine pain and cramping.
You will be prescribed strong painkillers to help manage any pain.
You should use sanitary towels (not tampons) in order to reduce the risk of infection. Keep the wound site clean and dry.
It is not advisable to drive until you feel comfortable, usually no sooner than four weeks after your surgery. You should be able to put on your seatbelt yourself and feel con dent you could perform an emergency stop if needed. Check if you are covered by your insurance policy.
You will no longer have periods.
As for all operations there is a risk of bleeding that may require a blood transfusion.
Clot in leg / lung
Unlikely, you will be asked to wear special stockings on your legs and be given a small injection in the tummy to thin the blood.
You will no longer be able to get pregnant after a hysterectomy.
Damage to Bladder
You cannot have children after Hysterectomy.
Womb removed so fibroids can’t regrow.
Small risk: - The bladder would be repaired and a catheter in the bladder would be necessary.
Damage to bowel
Small risk: - The bowel would be repaired but you may need a colostomy where the bowel drains into a bag attached to your tummy.
Small risk of a water infection (urine) or a chest infection that may require antibiotics.
Treatment Comparison PDF
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An abdominal hysterectomy is a surgical procedure that removes your uterus through an incision in your lower abdomen. Your uterus — or womb — is where a baby grows if you're pregnant. A partial hysterectomy removes just the uterus, leaving the cervix intact. A total hysterectomy removes the uterus and the cervix.
Vaginal hysterectomy is a surgical procedure to remove the uterus through the vagina. Vaginal hysterectomy involves a shorter time in the hospital and faster recovery than an abdominal hysterectomy. However, if your uterus is enlarged, vaginal hysterectomy may not be possible.
Laparoscopic hysterectomy involves small instruments being passed through small abdominal incisions. This is a minimally invasive hysterectomy, so you're likely to have less pain and lose less blood than is typical with open abdominal surgery. You'll probably be able to resume normal daily activities more quickly than you could after open surgery.
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Royal Stoke University Hospital
Stoke on Trent,
Newcastle under Lyme,
Tel : 01782 625431