A Hysterectomy is the surgical removal of areas of the uterus, each year there are 32,000 hysterectomies in the UK and are all due to varying factors. It involves the removal of the fallopian tubes, ovaries and cervix and is used in a number of gynaecological complaints due to disease or injury. After the hysterectomy process, you will no longer be able to get pregnant. The illustrations below show four stages of the hysterectomy surgery procedure.
Total Abdominal Hysterectomy – this is the most commonly performed operation. It removes the uterus and cervix through an incision in the lower abdomen. A Partial hysterectomy, on the other hand, removes only the uterus, meaning the cervix is still intact. You may undergo this hysterectomy if you have a large uterus or your surgeon feels It is necessary.
Total abdominal hysterectomy with bilateral salpingo-oophorectomy – is a hysterectomy that also removes the fallopian tubes (salpingectomy) and the ovaries (oophorectomy). There are many reasons why women may choose to undergo a total abdominal hysterectomy and they include having heavy periods, endometriosis, uterine fibroids and cancer, however, there are little risks involved and not very many side effects.
Radical abdominal hysterectomy – this type of hysterectomy is usually performed to remove and treat cancer, when other treatments, such as chemotherapy and radiotherapy, are not suitable or have failed to work. It removes the body of the womb, cervix and surrounding tissues, including the fallopian tubes, part of the vagina, ovaries, lymph glands and fatty tissue.
Sub-total abdominal hysterectomy – this is where the main body of the womb is removed, leaving the cervix in place. Usually, this method is used for non-cancerous conditions and not used very often. The cervix is left in place there is still a risk of cervical cancer and cervical smear tests are still required.
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