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Performing a Hysterectomy and Complications

Performing a hysterectomy

Performing a Hysterectomy and Complications should be a key discussion between a Doctor and patient. There are various ways a hysterectomy can be performed and it is important that you understand them before you have treatment. Performing a Hysterectomy and Complications

  • laparoscopic hysterectomy
  • vaginal hysterectomy
  • abdominal hysterectomy
  • Supracervical hysterectomy—removal of the uterus only
  • Total hysterectomy—removal of the uterus and cervix (the opening of the uterus leading to the vagina)
  • Radical hysterectomy—removal of the uterus, ovaries, fallopian tubes, upper part of the vagina, and the pelvic lymph nodes
  • Salpingo-oophorectomy —removal of the ovaries and fallopian tubes (may be combined with any of the above procedures)

Laparoscopic hysterectomy

Laparoscopic surgery is also known as keyhole surgery. A small tube containing a telescope (laparoscope) and a tiny video camera will be inserted through a small cut in your tummy. The surgeon can then see your internal organs. Instruments are then inserted through other small incisions in your abdomen or vagina to remove your womb, cervix and any other parts of your reproductive system. You usually have a general anaesthetic.

Vaginal hysterectomy

During a vaginal hysterectomy, the womb and cervix are removed through an incision that’s made in the top of the vagina. Special surgical instruments are inserted into the vagina to detach the womb from the ligaments that hold it in place. After the womb and cervix have been removed, the incision will be sewn up. The operation usually takes about an hour to complete. A vaginal hysterectomy is usually preferred over an abdominal hysterectomy as it’s less invasive and involves a shorter stay in hospital. The recovery time also tends to be quicker.

Abdominal hysterectomy

During an abdominal hysterectomy, an incision will be made in your tummy (abdomen). It’ll either be made horizontally along your bikini line, or vertically from your belly button to your bikini line. A vertical incision will usually be used if there are large fibroids (non-cancerous growths) in your womb, or for some types of cancer. After your womb has been removed, the incision is stitched up. The operation takes about an hour to perform and a general anaesthetic is used. An abdominal hysterectomy may be recommended if your womb is enlarged by fibroids or pelvic tumours and it’s not possible to remove it through your vagina.

It may also be recommended if your ovaries need to be removed.

Open Abdominal Hysterectomy

An incision will be made in the lower abdomen. This is done to 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.

Hysterectomy leaving cervix

A subtotal hysterectomy involves removing the main body of the womb and leaving the cervix in place. This procedure is not performed very often. If the cervix is left in place, there’s still a risk of cervical cancer developing and regular cervical screening will still be needed.

Consent

You should have a conversation with your Doctor about

1. Why it is recommended you have a hysterectomy

2. Whether you have an abdominal or vaginal hysterectomy

3. Whether you wish to retain the ovaries, fallopian tubes, upper part of the vagina, cervix, and the pelvic lymph nodes

Then you will understand what is happening and why and what to expect in the future in terms of risks and complications.

Possible Complications

If you are planning to have hysterectomy, your doctor will review a list of possible complications, which may include:

  • Reactions to anaesthesia
  • Pain
  • Infection
  • Bleeding
  • Fatigue
  • Injured pelvic organs (bowel and/or bladder)
  • Urinary incontinence (problems controlling your urine) which may manifest in the future and need surgical intervention
  • Loss of ovarian function and early menopause – needing treatment to protect your bone density, hormones and heart.
  • Depression
  • Sexual dysfunction  – such as pain on intercourse and inability to have intercourse.

Call us today

If you think you may have a claim following Performing a Hysterectomy and Complications then call us in confidence to discuss your issue. We are happy to talk through what has happened and advise you on a potential claim. Call us for FREE on 0800 470 2009 or email Dr Victoria Handley at vhandley@handleylaw.co.uk

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