An incision is made in the abdomen either vertically (mid-line) or horizontally (bikini-line). After the operation the bikini-line scar is hidden within the pubic hair, however the vertical incision may always be slightly visible. If your womb or fibroids are large, or your ovary has a large swelling it may not be possible to have the bikini-line incision. During an abdominal hysterectomy the uterus is removed by clamping and cutting the large blood vessels that supply it, and tying them off. The top of the vagina is sealed to prevent infection or prolapse and the incision in your abdomen closed with sutures.
This operation is similar to the abdominal hysterectomy except the incision is made internally, in the vagina. The uterus and other organs are removed through the vagina leaving no visible scars after the operation. The top of the vagina is closed to prevent infection or prolapse using dissolvable stitches.
A laparoscopic hysterectomy is keyhole surgery, entailing four small cuts in your abdomen below the navel. The operation is performed with the help of an internal camera which relays pictures of the inside of your abdomen onto a screen. The uterus and other organs are removed through the vagina.
Having a private hysterectomy allows you to discuss all the options and choose, with the surgeon, which method you would prefer and what’s best suited to your circumstances. As with all operations there are some risks involved, such as infection, bleeding, or an abnormal reaction to the anaesthetic. Complications specific to a hysterectomy include damage to other abdominal organs (although this is very rare), vaginal problems and ovary failure (if your ovaries were left in place). After a hysterectomy there is roughly a 50% chance of your ovaries failing within five years (which can in turn cause early menopause). However, hysterectomy surgery can offer a positive solution to several medical conditions that cause continuous discomfort or can be life-threatening.