Skip to content
My WebMD Sign In, Sign Up

Women's Health

Font Size

Types of Hysterectomy - Topic Overview

Abdominal hysterectomy is done when:

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

Recommended Related to Women

4 Diseases Doctors Get Wrong

By Laura NathanDoubting your diagnosis? Read on to find out what you might really have. Sometimes even the best doctors miss the mark: About 40 percent of all mistakes that M.D.s make are misdiagnoses, says the National Patient Safety Foundation. That's because many ailments have similar symptoms or can be detected only with tests that your physician might consider unnecessary if he's confident in his verdict. If you're in the know about often-confused conditions, though, you can ask the right...

Read the 4 Diseases Doctors Get Wrong article > >

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 adhesions confined to the uterus, fallopian tubes, and ovaries.

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 Pap smears, which check for cervical precancer and cancer. LSH requires specialized surgical training and may not be available everywhere.

1

WebMD Medical Reference from Healthwise

Last Updated: January 09, 2012
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
Next Article:

Types of Hysterectomy Topics

Today on WebMD

woman looking in mirror
Article
Woman resting on fitness ball
Evaluator
 
woman collapsed over laundry
Quiz
Public restroom door sign
Slideshow
 
Couple with troubles
Article
Bone density illustration
VIDEO
 
Young woman being vaccinated
Slideshow
woman holding hand to ear
Slideshow
 
Blood pressure check
Slideshow
mother and daughter talking
Evaluator
 
intimate couple
Article
puppy eating
Slideshow