Where will the incisions be made, and what will my scars look like after surgery?
The size and location of your incisions and scars will depend on the type of procedure you have.
If you have an abdominal hysterectomy, you will have a vertical or horizontal incision across your lower abdomen. This scar will be visible.
If you have a Hidden Scar hysterectomy, you will have a hidden scar.
A Hidden Scar Hysterectomy is a natural approach that allows surgeons to perform the procedure through the vagina, the body’s natural opening. You will not have any visible scar. The Hidden Scar approach is the least invasive approach, is safe, has low rates of complications, and is cheaper for patients.1,2,3 These are the reasons why the Hidden Scar approach 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.1,4 For women who also need surgery to treat Pelvic Organ Prolapse, the surgeon can perform this procedure at the same time as the hysterectomy using the same vaginal approach, and you will not need a second surgery. With any other approach to hysterectomy, you would need a second surgery to treat Pelvic Organ Prolapse.
- Safety in gynecologic surgery: A Roundtable Discussion. OBG Management Supplement. 2015.\
- Wright K, et al. Costs and Outcomes of Abdominal, Vaginal, Laparoscopic and Robotic Hysterectomies. JSLS (2012) 16:519-524
- ACOG Committee Opinion. Choosing the Route of Hysterectomy for Benign Disease. Nov 2009. Reaffirmed 2011.
- United Healthcare Network Bulletin. Jan 2015.