Overview

An abdominal hysterectomy is a surgical procedure that removes your uterus through an incision in your lower abdomen. Your uterus — or womb — is where a baby grows if you're pregnant. A partial hysterectomy removes just the uterus, leaving the cervix intact. A total hysterectomy removes the uterus and the cervix.

Sometimes a hysterectomy includes removal of one or both ovaries and fallopian tubes, a procedure called a total hysterectomy with salpingo-oophorectomy (sal-ping-go-o-of-uh-REK-tuh-me).

A hysterectomy can also be performed through an incision in the vagina (vaginal hysterectomy) or by a laparoscopic or robotic surgical approach — which uses long, thin instruments passed through small abdominal incisions.

An abdominal hysterectomy may be recommended over other types of hysterectomy if:

  • You have a large uterus.
  • Your doctor wants to check other pelvic organs for signs of disease.
  • Your surgeon feels it's in your best interest to have an abdominal hysterectomy.

Mayo Clinic's approach

Jan. 23, 2016
References
  1. Walters M. Choosing a route of hysterectomy for benign disease. http://www.uptodate.com/home. Accessed Dec. 4, 2015.
  2. Hysterectomy. First consult. https://www.clinicalkey.com. Accessed Dec. 4, 2015.
  3. Hysterectomy fact sheet. U.S. Department of Health and Human Services Office on Women's Health. http://womenshealth.gov/publications/our-publications/fact-sheet/hysterectomy.html. Accessed Dec. 4, 2015.
  4. Baggish MS. Robotic surgery in gynecology. Atlas of Pelvic Anatomy and Gynecologic Surgery. 4th ed. Saunders Elsevier. Philadelphia, Pa: Elsevier; 2016. http://www.clinicalkey.com. Accessed Dec. 4, 2015.
  5. Stovall T, et al. Abdominal hysterectomy. http://www.uptodate.com/home. Accessed Dec. 4, 2015.
  6. Bakkum-Gamez J (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 14, 2015.
  7. Frequently asked questions. Special procedures FAQ008. Hysterectomy. American College of Obstetricians and Gynecologists. http://www.acog.org/~/media/For%20Patients/faq008.pdf?dmc=1&ts=20121106T1337303494. Accessed Dec. 4, 2015.
  8. The rise and rise of robotic hysterectomy. BMJ. 2013;346:f1116.
  9. Cook AJ. Allscripts EPSi. Mayo Clinic, Rochester, Minn. Sept. 24, 2015.
  10. Pruthi S (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 10, 2015.