Types of Hysterectomy

Abdominal hysterectomy is done when:

• The Reference uterus Opens New Window is large.
• Reference Uterine fibroids Opens New Window are larger than 8 in. (20.3 cm) across.
• An ovarian mass is suspected.

An abdominal hysterectomy is usually required to remove Reference endometriosis Opens New Window implants and adhesions to restore the function of other organs involved.

Vaginal hysterectomy can be done:

• To remove uterine fibroids that are small.
• When the uterus is of normal or slightly enlarged size.
• When endometriosis implants are not present.
• When there is no significant scarring in the pelvis from previous surgeries.

This surgery requires more specialized surgical skill than an abdominal hysterectomy.

Laparoscopically assisted vaginal hysterectomy (LAVH) can be done:

• When uterine fibroids are small to moderate in size.
• When the uterus is slightly larger than normal.
• When a woman has never given birth (nulliparous).
• To remove endometriosis and Reference adhesions Opens New Window confined to the uterus, Reference fallopian tubes Opens New Window, and Reference ovaries Opens New Window.

LAVH requires specialized surgical training.

Laparoscopic supracervical hysterectomy (LSH) can be done:

• To remove uterine fibroids of any size.
• To remove a uterus of any size.

LSH is done by inserting a laparoscope (lighted viewing instrument) and surgical instruments through several small abdominal incisions. The uterus is removed in small pieces with a special surgical instrument.

LSH leaves the cervix intact, so women continue with their regular Reference Pap smears Opens New Window, which check for cervical precancer and cancer. LSH requires specialized surgical training and may not be available everywhere.

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