Hysterectomy

Hysterectomy is the most common nonobstetric surgical procedure among women. As such, it is imperative to continue evaluating trends in the performance of this procedure, including factors associated with undergoing different modes of hysterectomy.
Hysterectomy can be performed via several different routes. Some of the commonly performed ways of hysterectomy are vaginal, abdominal, laparoscopic, and robotic-assisted

• After a hysterectomy, your small and large intestines, which are the largest organs near your uterus, will move to fill most of the space that your uterus previously occupied.
• No sexual intercourse until the doctor gives you the OK (usually about six weeks after surgery)

Vaginal

Vaginal hysterectomy ranks as one of the least and minimally invasive types of hysterectomies, and it has better outcomes and fewer complications compared to other types. It should be regarded as the preferred route of hysterectomy, whenever possible. The advantages of vaginal hysterectomy include less pain, rapid recovery, faster return to work, lower costs, and lower morbidity. It is usually performed for benign hysterectomies.
Vaginal hysterectomy is a surgical procedure to remove the uterus through the vagina. During a vaginal hysterectomy, the surgeon detaches the uterus from the ovaries, fallopian tubes and upper vagina, as well as from the blood vessels and connective tissue that support it. The uterus is then removed through the vagina.

Laparoscopy

LAPAROSCOPIC hysterectomy, surgery is also known as keyhole surgery. It's the preferred way to remove the organs and surrounding tissues of the reproductive system.
During the procedure, a small tube containing a telescope (laparoscope) and a tiny video camera will be inserted through a small cut (incision) in your tummy.
This allows the surgeon to see your internal organs. Instruments are then inserted through other small incisions in your abdomen or vagina to remove your womb, cervix and any other parts of your reproductive system.

• Laparoscopic hysterectomies are usually carried out under general anaesthetic.

Abdominal

During an abdominal hysterectomy, an incision will be made in your tummy (abdomen). It'll either be made horizontally along your bikini line, or vertically from your belly button to your bikini line.
A vertical incision will usually be used if there are large fibroids (non-cancerous growths) in your womb, or for some types of cancer.
After your womb has been removed, the incision is stitched up. The operation takes about an hour to perform and a general anaesthetic is used.
An abdominal hysterectomy may be recommended if your womb is enlarged by fibroids or pelvic tumours and it's not possible to remove it through your vagina.
It may also be recommended if your ovaries need to be removed.