Abdominal hysterectomy- type of incision?

Question

I am going to have a partial hysterectomy due to very large fibroids. I'm not sure what kind of incision my doctor is going to do but I think it may be a bikini cut. I think that cuts your muscles/ligaments? Has anyone had this and if so, did you have problems holding in your stomach afterwards or notice a big change in that area as to sagging, etc as a result.

Answer 1

abdominal wall is sliced open, usually above the pubic bone, as close to the upper hair line of the individual's lower pelvis as possible,parallel to panities upper border u may say...
well usually docs do this and suture all muscles back...so stomach protruding out doesnt occur..may occur still...i have seen one women with this type of hernia...i have seen hundreds of women with hysterectomy ....

An increasing number of uterine removals not involving removal of the ovaries are done through the cervix ("supracervical"), reducing the size of the incision and the recovery time as well. In this technique, the uterus is accessed either via the vaginal canal or through an incision inside the navel (or sometimes both, depending on the uterine problem being addressed by the surgery). The uterus itself is detached at the top of the cervical neck and pulled back through the vaginal canal (or out through the navel incision if fibroids or other indications prevent it from being able to pass through the cervix) , after which the cervical neck is stitched shut. This provides the patient with a comparatively normal-length vagina which helps provide some support to the bladder, as well as a significantly decreased recovery time

in your case ur doc is partially removing the uterus so it cant be done thru vaginal route...
maybe because u want to have babies...


The newest technique is robotic-assisted laparoscopic hysterectomy. Instead of a large incision, a few tiny incisions are made through which thin instruments are passed. This new technique significantly reduces scarring, pain, healing time, blood loss, and duration of hospital stay when compared to open technique.


uterine fibroids may be removed without removing the uterus. This procedure is called a "myomectomy." A myomectomy may be performed through an open incision or, in appropriate cases, laparoscopically.[22] Various other techniques (such as Fibroid Artery Embolization, Myolysis, HALT, and Focused Ultrasound Surgery) kill the fibroid, and then leave it in place to be (usually only partially) reabsorbed by the body.