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 3 to 5 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 | CONS |
- Fibroid size does not matter
- Most easy route to deal with adhesions or ovarian problems
- Subtotal hysterectomy relatively simple
- Surgery faster than laparoscopic hysterectomy
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- Major abdominal incision
- Complications more frequent than with vaginal or laparoscopic hysterectomy
- Longer hospital stay
- Recovery takes several weeks
- Salpingo-Oophorectomy
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