Abdominal Hysterectomy is a common gynecologic surgery that is often considered when other treatments are not helpful in certain uterine problems. It surgically removes the uterus through an incision in the lower abdomen. This surgery is commonly recommended for conditions like fibroids, heavy bleeding, or pelvic pain. Additionally, there are many women who find relief and long term improvement after recovery.
At RISAA IVF, Dr. Rita Bakshi (Senior IVF Specialist and Gynaecologist) has guided many women through this procedure. Today, in this blog, we will explain everything about abdominal hysterectomy, including when it’s needed, what to expect, and more.
What Is an Abdominal Hysterectomy?
An abdominal hysterectomy is a surgery which is done to remove a woman’s uterus through a cut in the lower belly. It is called “abdominal” because the doctor makes the incision in the abdomen (tummy area). This is one of the most common types of gynecologic surgeries. This is done when there are large fibroids, cancer, or other medical reasons that make other ccccless suitable.
The woman no longer gets her periods and cannot become pregnant after uterus removal. Sometimes, other parts like the ovaries or fallopian tubes may also be removed depending on the reason for surgery. This decision is usually made by the doctor and is based on your health and condition.
Why Is It Done?
An abdominal hysterectomy is done when there are serious problems with the uterus that cannot be treated with medicines or other procedures. This surgery may be needed if the problem is causing pain, heavy bleeding, or other health issues.
Here are some common reasons for surgery:
- Uterine Fibroids: Some non-cancerous lumps in the uterus can cause pain and heavy periods.
- Endometriosis: In this, tissue like the lining of the uterus grows outside it and causes pain or bleeding.
- Cancer: If there is cancer in the uterus, cervix, or ovaries then the uterus may need to be removed.
- Long-Term Pelvic Pain: Pain in the lower belly that doesn’t get better with other treatments.
- Adenomyosis: If the inner lining of the uterus grows into the wall of the uterus and it causes pain and heavy bleeding then surgery may be needed.
- Uterine Prolapse: When the uterus drops from its normal position into the vaginal area.
Who May Need an Abdominal Hysterectomy?
An abdominal hysterectomy may be needed for those who have certain health problems related to the uterus that don’t improve with other treatments. It is usually suggested when the condition is serious, painful, or affects a woman’s daily life.
Here are some people who may need this surgery:
- Women with large fibroids that cause heavy bleeding, pain, or pressure in the stomach area.
- Those with endometriosis that haven’t improved with medicine or surgeries.
- Women diagnosed with cancer in the uterus, cervix, or ovaries.
- Those who have constant pelvic pain that affects their daily life.
- Women with heavy or long periods that don’t stop even after trying other methods.
- Those with uterine prolapse, where the uterus slips down into the vaginal area.
- Women who are done with childbearing and want a permanent solution for uterine problems.
How is the Surgery Performed?
In an abdominal hysterectomy, the doctor removes the uterus through a cut in the lower belly. The surgery is done under general anesthesia and the patient will be asleep and will not feel anything.
Here’s how it is done in simple steps:
- A cut is made on the lower stomach.
- The uterus is carefully removed.
- Sometimes, the ovaries and fallopian tubes may also be taken out.
- The cut is then closed with stitches.
The surgery usually takes 1–2 hours and after that you’ll rest in the hospital for a few days and recover slowly at home over a few weeks.
What to Expect Before the Surgery?
Your doctor will guide you through a few steps to get ready for the surgery. These steps are important to make sure you are fully prepared.
Here’s what usually happens:
- Medical tests: You may need blood tests, urine tests, or an ultrasound to check your overall health.
- Health check: Your doctor will ask about your medical history, allergies, and any medicines you are taking.
- Fasting: You may be told not to eat or drink anything the night before surgery.
- Stopping medicines: Some medicines, like blood thinners, may need to be stopped a few days earlier.
- Discussion: Your doctor will explain the procedure, risks, and what to expect during recovery.
Recovery After Abdominal Hysterectomy
An abdominal hysterectomy takes some time to recover. There are many women who need around 6 to 8 weeks to recover fully. So, it’s important to rest during this period because a woman’s body is adjusting at this time. There is some advice for husbands after hysterectomy that are also important to follow.
Here’s what to expect during recovery:
- Hospital stay: You may stay in the hospital for 2–3 days after surgery.
- Pain and tiredness: It’s normal to feel pain or discomfort around the cut area. Your doctor will give you medicine to help with this.
- Movement: Start with short walks to improve blood flow and prevent clots, but avoid lifting anything heavy.
- Daily routine: You’ll need help at home in the beginning. And it’s important to avoid chores like bending, sweeping, or driving for a few weeks.
- Follow-up visits: Regular checkups are important to make sure you’re healing well.
- Emotional healing: Some women feel emotional changes after the surgery. It’s okay to talk about it and ask for support.
Risks and Possible Complications
An abdominal hysterectomy is usually safe but it can have some risks. There are many women who are recovering well but it’s good to know what might happen.
Here are a few possible complications:
- Infection
- Heavy bleeding
- Injury to nearby organs
- Blood clots
- Anesthesia effects
- Emotional changes
Final Words
Abdominal Hysterectomy, a Common Gynecologic Surgery is a very important topic for women who may need this treatment for many health reasons. In this blog, we’ve explained everything about why it is done, how it is performed, what to expect before and after surgery, and the possible risks. It’s important to know these details to be ready for the journey.
At RISAA IVF, Dr. Rita Bakshi (Senior Fertility Specialist and Gynaecologist) has helped many women with expert advice. If you have any questions or want to understand your treatment options better, feel free to call us at 95555 44421/22/23 or email at doctor@risaaivf.com.
Frequently Asked Questions (FAQs)
Is an abdominal hysterectomy major surgery?
Yes, it’s a major surgery as it involves removing the uterus through a cut in the belly and needs proper recovery time.
What are the advantages of abdominal hysterectomy?
It gives a clear view of organs, which helps in complex cases like large fibroids or endometriosis.
What is the difference between a total hysterectomy and an abdominal hysterectomy?
Total hysterectomy removes the uterus and cervix. Abdominal hysterectomy is the method used—done through the abdomen.
What are the complications of abdominal hysterectomy?
Possible risks include infection, bleeding, or injury to nearby organs. Most women recover well with care.