Surgical incisions for hysterectomy

Your surgeon will recommend one or more types of hysterectomy (you may or may not have a choice, depending on your condition). While an abdominal hysterectomy requires a larger incision, a vaginal or laparoscopic hysterectomy uses small incisions.

Abdominal hysterectomy. Two types of surgical incisions are used for an abdominal hysterectomy.

• The midline incision is made from just below the belly button (umbilicus) straight down the abdomen to just above the pubic hairline.
• A transverse incision (bikini line) is made just above the pubic hairline.

Vaginal hysterectomy. During a vaginal hysterectomy, the incisions to remove the uterus are made on the inside of the vagina.

Laparoscopic hysterectomy. To allow insertion of a small viewing instrument (laparoscope) and surgical instruments, small incisions are made in the abdomen.

The vaginal and laparoscopic techniques are sometimes combined.