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Total hysterectomy is a surgical procedure in which the uterus and the cervix are removed.

Hysterectomy Surgery

A hysterectomy surgery is done in many ways. All methods need a general or local anesthetic. A general anesthetic will make the woman sleep throughout the hysterectomy surgery so that she does not feel any kind of a pain. A local anesthetic will make her body get numb beneath the waistline, but she will be awake during the hysterectomy surgery. This anesthetic will at times be mixed with a sedative, which will help her feel sleepy and also relaxed during the surgery.

Abdominal Hysterectomy

During an abdominal hysterectomy, the surgeon removes a woman’s uterus through a large cut made in her abdomen. The incision can be either horizontal or vertical. Both types of cuts tend to heal really well and would leave hardly a scar.

Vaginal Hysterectomy

During a vaginal hysterectomy, the woman’s uterus is removed through a small incision made inside the vagina.As there are no external cuts, there would not be any visible scars.

Laparoscopic Hysterectomy

During a laparoscopic hysterectomy, the doctor uses a tiny instrument called a laparoscope. A laparoscope is a long, thin tube with a good amount of light and a clear visioned camera at the front view. The instrument is inserted through incisions made in the abdomen. Three or four small incisions are made instead of one large cut. Once the surgeon can see her uterus, they will cut the uterus into small pieces and remove one piece at a time.

Laparoscopic Hysterectomy is usually done as a same day surgery where the recovery time basically is 1-2 weeks.


A laparoscopic hysterectomy surgery is a less harmful surgery to remove the uterus. A small incision is made in the abdomen through which a tiny camera is inserted. The surgeon views the image from this camera on a TV monitor while performing the surgery. Two to three small cuts are also made in the lower abdomen. To view these, specialized instruments are inserted and used for the removal process.

Most women do not ask for the ovary removal when they undergo a laproscopic hysterectomy surgery. Women can choose either to retain the cervix in place ( called as a “supra-cervical hysterectomy”) or remove the entire uterus (“total laparoscopic hysterectomy”). Keeping the cervix in place makes the surgery a little faster and safe. Some people think that keeping the cervix in place is better for sexual enjoyment in future. However, when the cervix is in place, there are chances of women having monthly spotting at the time of her menstruation. Women whose cervices are retained in place need to continue getting regular pap tests done.

If the woman wants to be absolutely sure that she will never menstruate in future, she needs to have the entire uterus removed. If the patient has had a history of cancerous changes in the cervix or the uterine lining, she then must have the complete uterus removed. If the operation is being done for endometriosis which means tissue lining inside the uterus which happens to be lining outside or pelvic pain, many doctors think that the chances for pain reduction are much higher if the cervix completely is removed.


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