An incision will be made in the lower abdomen. This will expose the tissue and blood vessels that surround the uterus. The tissue will then be cut. The blood vessels will be tied off. The uterus will be removed. Next, the abdominal wall will be sewn back together and the skin will be closed with stitches or staples. If the cervix is also removed, stitches will be put in the top of the vagina. Bandages will be placed over the abdomen. The vagina will be packed with gauze. This will be removed in 1 to 2 days.
This method will not involve any outside incisions. The vagina will be stretched and kept open with special tools. Next, the uterus and cervix will be cut free. The connecting blood vessels will be tied off. The uterus and cervix will be removed through the vagina. Lastly, the top of the vagina will be closed with stitches. The vagina will be packed with gauze. This will be removed in 1 to 2 days.
Pain, bloating, and vaginal discharge and bleeding are common in the first few days. Medicine and home care can help.
Average Hospital Stay
The usual length of stay is 1 to 3 days. If you have any problems, you may need to stay longer.
At the Hospital
Right after the procedure, the staff may:
Give you pain medicine
Encourage you to walk
It will take about 3 to 8 weeks to fully heal, depending on which procedure was done. Physical activity and sex will be limited during this time. Tampons will need to be avoided. Ask for help with daily activities and delay your return to work.
Call Your Doctor
Call the doctor if you are not getting better or you have:
Signs of infection, such as fever and chills
Redness, swelling, excessive bleeding, or discharge
Pain that you cannot control with medicine
Pain, burning, urgency or frequency of urination, or lasting blood in the urine
Swelling, redness, or pain in the legs
If you think you have an emergency, call for medical help right away.
Hysterectomy. American College of Obstetricians and Gynecologists website. Available at: https://www.acog.org/womens-health/~/link.aspx?_id=38BFB30FBDF24ABBB6B8AF4406E9100D&_z=z. Accessed August 25, 2021.
Hysterectomy. EBSCO DynaMed website. Available at: https://www.dynamed.com/procedure/hysterectomy. Accessed August 25, 2021.
Hysterectomy. Women's Health—US Department of Health and Human Services website. Available at: https://www.womenshealth.gov/a-z-topics/hysterectomy. Accessed August 25, 2021.
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