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St. Vincent's Medical Center, Bridgeport CT

Hysterectomy

St. Vincent's Medical Center, Bridgeport CTSt. Vincent's SWIM Women's Imaging Center (203) 576-5500

A hysterectomy is an operation to remove a woman's uterus. A woman may have a hysterectomy for different reasons, including:

 Uterine fibroids that cause pain, bleeding, or other problems

Uterine prolapse, which is a sliding of the uterus from its normal position into the vaginal canal

  • Cancer of the uterus, cervix or ovaries
  • Endometriosis
  • Abnormal vaginal bleeding
  • Chronic pelvic pain
  • Adenomyosis, or a thickening of the uterus 

 Hysterectomy is usually considered only after all other treatment approaches have been tried without success.

Types of hysterectomy

Depending on the reason for the hysterectomy, a surgeon may choose to remove all or only part of the uterus. Patients and healthcare providers sometimes use these terms inexactly, so it is important to clarify if the cervix and/or ovaries are removed: 

  • In a supracervial or subtotal hysterectomy, a surgeon removes only the upper part of the uterus, keeping the cervix in place.
  • A total hysterectomy removes the whole uterus and cervix.
  • In a radical hysterectomy, a surgeon removes the whole uterus, tissue on the sides of the uterus, the cervix, and the top part of the vagina. Radical hysterectomy is generally only done when cancer is present.

 During a hysterectomy, the ovaries may be removed, a procedure called oopherectomy. 

Surgical techniques for hysterectomy

Surgeons use different approaches for hysterectomy, depending on the surgeon’s experience, the reason for the hysterectomy, and a woman's overall health. The hysterectomy technique will partly determine healing time and the kind of scar, if any, that remains after the operation.

There are two approaches to surgery – a traditional or open surgery and surgery using a minimally invasive procedure or MIP.

Open surgery hysterectomy

An abdominal hysterectomy is an open surgery where a surgeon makes a five to seven inch incision, either up-and-down or side-to-side, across the belly. The surgeon then removes the uterus through this incision. On average, a woman spends more than three days in the hospital following an abdominal hysterectomy. There is also, after healing, a visible scar at the location of the incision.

Minimally invasive procedure (MIP) hysterectomy

There are several approaches that can be used for an MIP hysterectomy: 

  • Vaginal hysterectomy: The surgeon makes a cut in the vagina and removes the uterus through this incision. The incision is closed, leaving no visible scar. 
  • Laparoscopic hysterectomy: This surgery is done using a laparoscope, which is a tube with a lighted camera, and surgical tools inserted through several small cuts made in the belly. The surgeon performs the hysterectomy from outside the body, viewing the operation on a video screen. 
  • Laparoscopic-assisted vaginal hysterectomy: Using laparoscopic surgical tools, a surgeon removes the uterus through an incision in the vagina. 
  • Robot-assisted laparoscopic hysterectomy: This procedure is similar to a laparoscopic hysterectomy, but the surgeon controls a sophisticated robotic system of surgical tools from outside the body. Advanced technology allows the surgeon to use natural wrist movements and view the hysterectomy on a three-dimensional screen. St. Vincent’s Medical Center can perform this procedure with the help of the da Vinci Robot Surgical System.

 What to expect after hysterectomy

After a hysterectomy, if the ovaries were also removed, a woman will enter menopause. If the ovaries were not removed, a woman will likely enter menopause at an earlier age than she would have otherwise.

Most women are told to abstain from sex and avoid lifting heavy objects for six weeks after hysterectomy. After a hysterectomy, the vast majority of women surveyed feel the operation was successful at improving or curing their main problem (for example, pain or heavy periods). 

Contact us

St. Vincent's SWIM Women's Imaging Center (203) 576-5500

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