Hysterectomy / Surgical Removal Of Uterus

Hysterectomy - Surgical Operation

There are two main techniques used to perform hysterectomies, Open technique and Minimally invasive techniques.

► Open technique is a total abdominal hysterectomy (TAH)

► Minimally invasive techniques are -
- Vaginal Hysterectomy
- Laparoscopic Hysterectomy

The ideal surgical procedure for each woman depends on her particular medical condition.

A. Open technique

Abdominal hysterectomy
In November 1843, Charles Clay performed the first hysterectomy in Manchester, England. The body of the uterus was removed while the cervix remained intact. In 1929, Richardson, MD, performed the first TAH (total abdominal hysterectomy), in which the entire uterus was removed (Johns, 1997).

Abdominal hysterectomy can be performed under spinal anesthesia or general anesthesia. The patient remains awake during a spinal anesthesia, with only lower section of the body being numbed to prevent pain. When given a general anesthetic, the person is unconscious.