Types of Hysterectomies and Hysterectomy Surgery

Being told you need hysterectomy surgery is very overwhelming.

Not only do you need to understand the types of hysterectomies you could have, but you also need to decide what type of surgical procedure or approach is right for you. You came to the right place! Let’s break this down:

Types of Hysterectomy

First, you should understand the type of hysterectomy you need. By definition, a hysterectomy surgery is a surgery to remove the uterus.
There are three types of hysterectomies:

Total Hysterectomy

The uterus and the cervix are removed.  A Total Hysterectomy is necessary when the cervix needs to be removed, for example, if you have cervical cancer.

Partial Hysterectomy

The uterus is removed, but the cervix is not. A partial hysterectomy is also known as Supracervical or subtotal hysterectomy.

Radical Hysterectomy

The uterus, the cervix, both fallopian tubes, and both ovaries are removed all at the same time. A Radical Hysterectomy is typically recommended if you have a cancer diagnosis.

Choosing the type of hysterectomy to have depends on your diagnosis.  

Learn More About Hysterectomy Types

Hysterectomy Procedures

Once you know the type of hysterectomy that you need, you can then decide what approach to hysterectomy surgery or surgical procedure is right for you.
There are different surgical approaches for hysterectomy.

Hidden Scar Hysterectomy

A Hidden Scar Hysterectomy procedure is the least invasive, natural approach that is preferred by health insurance companies, and is highly recommended by medical societies like American College of Obstetricians and Gynecologists and the Society of Gynecologic Surgeons.1,2

Abdominal Hysterectomy

 

This is the most invasive approach, and should only be recommended when other approaches are not possible.¹ In addition, a woman is left with a very visible scar.

Laparoscopic Hysterectomy
and Robotic Hysterectomy

Although Laparoscopic and Robotic approaches are often called minimally invasive, they result in visible scars and patients often experience higher postoperative pain as compared to a vaginal approach.¹ Additionally, a woman is left with several scars on her stomach.

Laparoscopic Assisted Vaginal
Hysterectomy (LAVH)

In an LAVH procedure, your surgeon will use a combined laparoscopic and vaginal approach. A woman is left with several scars on her stomach.

The procedure your surgeon recommends will be based on the size and shape of your uterus and vagina, your diagnosis, the need for additional surgical procedures, the level of training your surgeon has, the technology your surgeon and hospital have, and patient preference. Visit our hysterectomy procedures page to learn more about hysterectomy surgery and procedure types.

References

  1. Safety in gynecologic surgery: A roundtable discussion, OBG Management Supplement, Lonky, Gebhart, Kho, Munro, October 2015, obgmanagement.com
  2. United Healthcare Network Bulletrin. Jan 2015

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