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Information about uterine fibroids
Minimally Invasive Therapy Unit & Endoscopy Training Centre
University Department of Obstetrics and Gynaecology
Royal Free Hospital
Pond Street
Hampstead
London NW3 2QG, UK

Abdominal hysterectomy

Abdominal hysterectomy is the most commonly performed type of hysterectomy in most countries. Certainly, if the fibroids are very large or if you are thought to have a lot of adhesions in your pelvis, then abdominal hysterectomy is generally the only option. Just as with myomectomy, however, there is a good chance that surgery can be done through a "bikini" type incision even in difficult cases.

Hospital stay averages 5 to 7 days and normal activities are generally deferred for 4-6 weeks. This does not mean that you are bed bound, only that you are advised to avoid heavy physical work for that time.

PROS
Fibroid size does not matter
Most easy route to deal with adhesions or ovarian problems
Subtotal hysterectomy relatively simple
Surgery faster than laparoscopic hysterectomy
CONS
Major abdominal incision
Complications more frequent than with vaginal or laparoscopic hysterectomy
Longer hospital stay
Recovery takes several weeks

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THIS SITE: Home ¦ What are fibroids ¦ Symptoms ¦ Diagnosis ¦ Treatment overview ¦ Medical treatment ¦ Myomectomy ¦ Hysterectomy ¦ Uterine artery embolisation ¦ Operation movies ¦ Fibroid Clinic
USEFUL INFORMATION: Other fibroid web sites ¦ Heavy periods ¦ Pelvic pain¦ Infertility ¦ Endometriosis ¦ Adhesions ¦ Polycystic ovaries
CONTACT: Appointment ¦ Find us ¦ Downloads ¦ Guestbook ¦ Comments or enquiry
USEFUL LINKS: One Stop Fertility Clinic ¦ Royal Free Hospital ¦ Gynaecology Workshops ¦ MRCOG & DRCOG Courses ¦ Royal College of Obstetricians and Gynaecologists ¦ The Hysterectomy Association ¦ Really Useful Software

MEDICAL NOTES
Diagnostic laparoscopy

A laparoscope is a narrow telescope which is introduced into the abdomin through a small incision. It provides the surgeon with an excellent view of the peritoneal cavity, and can be used both for diagnosis and treatment.

Laparoscopy is usually done under general anaesthesia, but hospital stay is usually short.

In gynaecology, indications for diagnostic laparoscopy include the investigation of pelvic pain and subfertility.