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An abdominal hysterectomy is a surgical operation that removes your womb through an incision in your lower abdomen. Your womb — or female internal reproductive organ — is where a baby grows if you are pregnant. A partial hysterectomy removes simply the womb, leaving the cervix intact. A total ablation removes the womb and therefore the cervix. Sometimes a hysterectomy includes removal of 1 or both ovaries and fallopian tubes, a procedure known as a total hysterectomy. A hysterectomy may be performed through an incision within the epithelial duct (vaginal hysterectomy) or by a laparoscopic or robotic surgical approach — that uses long, skinny instruments passed through small abdominal incisions.
An abdominal hysterectomy is also counseled over different kinds of hysterectomy if:
• You have a large uterus.
• Your doctor wants to check other pelvic organs for signs of disease.
• Your surgeon feels it's in your best interest to have an abdominal hysterectomy.
During abdominal hysterectomy, your surgeon detaches your uterus from the ovaries, fallopian tubes and upper vagina, as well as from the blood vessels and connective tissue that support it.
You may need a hysterectomy to treat:
Fibroids - A hysterectomy is the only sure, permanent resolution for fibroids — benign female internal reproductive organ tumors that usually cause persistent hemorrhage, anemia, pelvic pain or bladder pressure. Nonsurgical treatments of fibroids are a possibility, depending on your discomfort level and tumor size. Many women with fibroids have nominal symptoms and need no treatment.
Endometriosis - In endometriosis, the tissue lining the inside of your womb (endometrium) grows outside the womb on your ovaries, fallopian tubes, or other pelvic or abdominal organs. When medication or conservative surgery does not improve endometriosis, you might want a hysterectomy in conjunction with removal of your ovaries and fallopian tubes (bilateral salpingo-oophorectomy).
Uterine Prolapse - Descent of the uterus into your vagina can happen when supporting ligaments and tissues weaken. Uterine prolapse will result in incontinence, pelvic pressure or difficulty with bowel movements. A hysterectomy could also be necessary to treat these conditions.
Abnormal vaginal hemorrhage - If your periods are serious, irregular or prolonged each cycle, a hysterectomy may bring relief when the bleeding can't be controlled by other methods.
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During abdominal hysterectomy, your surgeon detaches your uterus from the ovaries, fallopian tubes and upper vagina, as well as from the blood vessels and connective tissue that support it. The lower part of your womb (cervix) is typically} removed (total hysterectomy) however could sometimes be left in place (partial hysterectomy). If necessary, your operating surgeon might take away further pelvic organs and tissue, such as your ovaries or fallopian tubes.
After surgery, you'll remain in the recovery room for a few hours. Your health care team will:
• Monitor you for signs of pain
• Give you medicine for pain and to prevent infection
• Encourage you to get up and walk around soon after surgery
An abdominal hysterectomy typically needs a hospital stay of 1 to 2 days, but it could be longer. You'll need to use hygienic pads for epithelial duct bleeding and discharge. It's normal to have bloody vaginal drainage for several days to weeks after a hysterectomy. However, let your operating surgeon know if you have got hemorrhage that is as significant as a menstrual period or hemorrhage that is persistent. The abdominal incision can step by step heal, however a noticeable scar on your abdomen can stay.
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