What is an abdominal hysterectomy?

Abdominal hysterectomy is surgery to remove the uterus. This is done through a cut (incision) in the lower belly. The cervix is usually removed too. In some cases, the ovaries and fallopian tubes also are taken out at the same time.

The doctor may make a horizontal incision. This cut goes from side-to-side and is done at the pubic hairline. Or the incision may be vertical. This type goes up and down between the belly button and the pubic bone. Both types leave a scar that most often fades with time.

You may stay in the hospital for about 1 to 4 days after surgery. You will likely feel better each day. But you may need about 4 to 6 weeks to fully recover.

After the surgery, you will not have periods or be able to get pregnant. Most people can have sex without problems after they recover.

What happens on the day of surgery?

• Follow the instructions exactly about when to stop eating and drinking, or your surgery may be cancelled. If your doctor has instructed you to take your medicines on the day of surgery, please do so using only a sip of water.
• Take a bath or shower before you come in for your surgery. Do not apply lotions, perfumes, deodorants, or nail polish.
• Do NOT shave the surgical site yourself.
• Remove all jewellery, piercings, and contact lenses.
• Leave your valuables at home.

At the hospital or surgery centre

• 
  Bring a picture ID.
• Before surgery you will be asked to repeat your full name, what surgery you are having, and what part of your body is being operated on. The area for surgery may be marked.
• A small tube (I.V.) will be placed in a vein, to give you fluids and medicine to help you relax. Because of the combination of medicines given to keep you comfortable, you may not remember much about the operating room.
• You will be kept comfortable and safe by your anesthesia provider. The anesthesia may range from making you fully asleep, to simply numbing the area being worked on. This will depend on the procedure you are having, as well as a discussion between your doctor, the anesthesia provider, and you.
• The surgery usually takes about 1 to 2 hours.
• As you wake up in the recovery room, the nurse will check to be sure you are stable and comfortable. It is important for you to tell your doctor and nurse how you feel and ask questions about any concerns you may have.