Abdominal hysterectomy


        ABDOMINAL HYSTERECTOMY
Surgeons gain access to, and remove, one or more of the reproductive organs in a number of ways. This is the basis for another method of classifying hysterectomy.
If access is gained via an incision in the abdomen the operation is called an abdominal hysterectomy. This is usually performed when:
• one or both ovaries are to be removed
• there are large fibroids, endometriosis, pelvic inflammatory disease or tough adhesions surrounding the intestines
• the surgeon wants to examine by touch or inspect the abdominal organs because of suspicious symptoms
• the surgery is likely to be prolonged because, for example, the woman is obese.
The incision in the abdomen can be either vertical (an 'up and down' cut) or horizontal ('transverse' ), and is about 13 cm in length. If the incision is horizontal, it is usually possible to minimise the visibility of any permanent scar by cutting near or below the pubic hairline (the so-called 'bikini cut') or along the line of a previous Caesarean scar. You should discuss the position of any scar before the operation to ensure your surgeon knows your views on this.
Whatever type of hysterectomy is going to be performed, a pre-surgery ultrasound is useful as it can help decide which type of operation is likely to be most suitable, and it means the woman and the surgeon are better prepared for what lies ahead. It is reasonable for a woman to request an ultrasound if any form of hysterectomy is proposed.

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