Laparoscopic and Open Hysterectomy
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Patient Information Leaflet
Laparoscopic and Open Hysterectomy
What is a Hysterectomy?
A hysterectomy is a surgical procedure to remove the uterus (womb). It may also involve the removal of other reproductive organs, such as the ovaries or fallopian tubes, depending on the condition being treated. There are two main approaches:
laparoscopic (keyhole) and open (abdominal) hysterectomy.
Why is a Hysterectomy Performed?
Hysterectomy may be recommended for conditions such as:
– Heavy menstrual bleeding that hasn’t responded to other treatments.
– Uterine fibroids or adenomyosis.
– Endometriosis.
– Uterine prolapse.
– Cancer of the cervix, uterus, or ovaries.
Laparoscopic Hysterectomy
1. Procedure:
– Performed using small incisions in the abdomen.
– A laparoscope (camera) and surgical instruments are used to remove the uterus.
– The uterus is typically removed through the vagina or in small pieces via the incisions.
2. Benefits:
– Minimally invasive with shorter recovery time.
– Less pain and scarring compared to open surgery.
– Reduced risk of infection.
3. Recovery:
– Most patients can return home the same day or after an overnight stay.
– Recovery typically takes 2–4 weeks.
Open (Abdominal) Hysterectomy
1. Procedure:
– Performed through a larger incision in the lower abdomen.
– The uterus is removed directly through the incision.
2. Benefits:
– Suitable for larger uterine conditions or complex cases.
– Allows better access to surrounding organs if needed.
3. Recovery:
– Hospital stay of 2–5 days is common.
– Recovery typically takes 6–8 weeks.
Risks and Complications
Both procedures are generally safe, but risks include:
– Infection or bleeding.
– Injury to surrounding organs (e.g., bladder or bowel).
– Blood clots.
– Reaction to anesthesia.
Preparing for Surgery
– Inform your doctor about any medications, allergies, or medical conditions.
– Follow fasting instructions before surgery.
– Arrange for someone to drive you home and assist during recovery.
Aftercare and Follow-Up
– Mild pain, fatigue, and spotting are normal after surgery.
– Avoid heavy lifting and strenuous activities during recovery.
– Attend follow-up appointments to monitor healing and discuss any concerns.
References
This leaflet is based on guidelines from the [Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG)] (https://ranzcog.edu.au/wp-content/uploads/Hysterectomy.pdf)