Abdominal hysterectomy – a surgeon removes the uterus with the help of a big open 5-7 inch cut. He makes the incision through the skin in the lower abdomen. The procedure is usually recommended when there are big tumors or cancer. Two types of incisions are used in this operation – vertical in the midline, moving up and down or transversal, which is also called “bikini” cut. These incisions are healed quite well, only a bit of scarring tissue is visible after the operation.
This kind of hysterectomy needs the longest time for recovery (from 4 to 6 weeks) in comparison with laparoscopic and vaginal. The size of the incision must be big enough for a doctor to put and fit hands into your body. With the help of such a big cut a surgeon can easily reach and extract the uterus or big fibroma. This operation gives chance to touch and see organs. After hysterectomy you will have quite a big visible scar. The procedure is usually recommended in a case of gyneclogic cancer, different fibroids, uterine prolapse, endometriosis, abnormal vaginal bleeding and chronic pelvic pain. During abdominal hysterectomy a doctor may also conduct a simultaneous procedure that removes fallopian tubes and ovaries. Having this operation you may face with the following risks:
• Blood clots
• Too much bleeding
• Bad reaction to anesthesia
• Urinary tract or bladder damage
• Earlier start of menopause
Before surgery a doctor may recommend doing such tests as Pap test, pelvic ultrasound, endometrial biopsy. A day before the operation you will be recommended to take some medication that will empty your digestive system for further surgery. Also, a vaginal douche is conducted before the operation in order to eliminate the infectious risks. Probably, you will have intravenous antibiotic medications to decrease the risks of contagions after the operation.