Laparoscopic (keyhole) hysterectomy
This is the approach of choice for undertaking hysterectomy procedures where visualisation of the abdomen and removal of the ovaries and falopian tubes is indicated.
Laparoscopic total hysterectomy
This operation involves removing the cervix (with or without removal of ovaries), and is usually performed with 3 or 4 small abdominal incisions (Approx 1cm). The operation is not suitable for all patients and your consultant can discuss this with you . Most patients are discharged home within 24 - 48 hours with less pain and usually the resumption of normal activities at least 2 weeks earlier than an abdominal (Open) hysterectomy.
Your gynaecologist will discuss with you the appropriateness of removal of the ovaries and fallopian tubes as part of the procedure.
This is an alternative form of laparoscopic total hysterectomy which is indicated for specialised complex cases and for patients with high body mass index. This can be undertaken by arrangement in collaboration with Cheltenham General Hospital .
A hysterectomy when all the procedure is undertaken through the vagina with no abdominal cuts/incisions. Only suitable for women with some degree of uterine prolapse.
Total abdominal hysterectomy
Used when a laparoscopic approach is not suitable when the uterus is very enlarged or when patients have undergone multiple previous surgical procedures with the formation of adhesions.
Subtotal Abdominal or Laparoscopic hysterectomy
This procedure removes the body of the uterus but retains the cervix. This may be an option for you depending on the indication for your hysterectomy procedure but specifically would not be recommended in the presence of risk for precancer or cancer change within the uterus.