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Techniques
Our Approach to Hysterectomy
If you have been diagnosed with a condition that requires hysterectomy, you likely have a lot of questions about the procedure, your recovery, and your long-term health.
At Stanford, our doctors perform hysterectomy using a range of techniques. We use minimally invasive and robotic procedures to help reduce your pain, scarring, and recovery time. We also use advanced imaging equipment during surgery to tailor your procedure to your unique anatomy and condition.
To request an appointment with one of our gynecologic surgeons, call: 650-725-6079
What Is Hysterectomy?
Hysterectomy Techniques
Abdominal Hysterectomy
The surgeon removes your uterus through a six- to eight-inch-long incision in the abdomen. Your doctor might recommend this technique for:
- Removal of ovaries and fallopian tubes
- An enlarged uterus
- Large fibroids
- Endometriosis, cancer, or other diseases in your pelvic cavity
The main incision may be either vertical, from the navel down to the pubic bone, or horizontal, along the top of the pubic hairline. If you have a very large uterus or a scar from an earlier operation, your surgeon may need to make a vertical incision on the lower abdomen.
Most women stay in the hospital for two to three nights after this type of hysterectomy and reduce their activities for four to six weeks.
Vaginal Hysterectomy
The surgeon removes your uterus through the vaginal opening. This technique is most often used to treat uterine prolapse, or when vaginal repairs are necessary for related conditions. Vaginal hysterectomy cannot treat all conditions because the size and position of the vagina limits access to the uterus and surgical site.
Since there is no external incision, there is no visible scarring. Of all hysterectomy procedures, vaginal hysterectomy involves the least post-surgery pain.
After surgery, most women go home the same day, or stay one night in the hospital, and reduce their activities for four to six weeks.
Minimally Invasive Laparoscopic Hysterectomy
The surgeon removes your uterus through very small incisions on the lower abdomen. He or she inserts a laparoscope—a thin, flexible tube containing a video camera—through a cut in your belly button. Your doctor makes several other small incisions in the abdomen to insert small scalpels and other surgical tools. Your doctor removes the uterus in sections through the laparoscope tube or through the vagina.
Compared with abdominal hysterectomy, laparoscopic hysterectomy has smaller incisions and less post-procedure pain. Small scars remain on the skin of the abdomen.
After surgery, most women go home the same day, or stay one night in the hospital, and reduce their activities for four to six weeks.
Minimally Invasive Robotic Hysterectomy
The surgeon uses a combination of high-definition 3D magnification, robotic technology, and miniature instruments to view, manipulate, and remove your uterus. Typically, he or she makes four or five small incisions in your abdomen to allow small robotic arms and surgical tools to reach your uterus. In some cases, surgeons can access the uterus with one incision through the belly button.
Compared with abdominal hysterectomy, robotic hysterectomy has smaller incisions and less post-procedure pain. Small scars remain on the skin of the abdomen.
After surgery, most women go home the same day, or stay one night in the hospital, and reduce their activities for four to six weeks.
What to Expect
There are several different surgical approaches to hysterectomies.
The type of hysterectomy performed and the technique used to perform the procedure will be determined by your physician and depend on the size of the uterus as well as several other factors.
Abdominal
Vaginal
Laparoscopic
Robotic
The uterus is removed through the abdomen via a surgical incision about six to eight inches long. This procedure is most commonly used when the ovaries and fallopian tubes are being removed, when the uterus is enlarged, for women with large fibroids, or when disease has spread to the pelvic cavity, as in endometriosis or cancer. The main surgical incision can be made either vertically, from the navel down to the pubic bone, or horizontally, along the top of the pubic hairline.
If the uterus is very large or if there is a scar from an earlier operation, it may be necessary to make a vertical incision on the lower abdomen.
Post-surgery, most women stay 2-3 nights in the hospital, followed by 4-6 weeks reduced activity.
The uterus is removed through the vaginal opening. This procedure is most often used in cases of uterine prolapse, or when vaginal repairs are necessary for related conditions. No external incision is made, which means there is no visible scarring. Of all hysterectomy procedures this involves the least post-operative pain.
Post-surgery, most women stay 0-1 nights in the hospital, followed by 4-6 weeks reduced activity.
Laparoscopic hysterectomy is a procedure in which the uterus is removed through very small incisions on the lower abdomen. The surgeon inserts a laparoscope, a thin, flexible tube containing a video camera,through a cut in the belly button, and several other small incisions are made in the abdomen to place surgical tools. The uterus is then removed in sections through the laparoscope tube or through the vagina.
Small scars remain on the skin of the abdomen.
Post-surgery, most women stay 0-1 nights in the hospital, followed by 4-6 weeks reduced activity.
Robotic hysterectomy uses a combination of high-definition 3D magnification, robotic technology and miniature instruments to improve a surgeon's ability to view, manipulate, and remove the uterus. Four-to-five small incisions are made in the abdomen to allow for slender robotic arms and tiny surgical tools to access the uterus.
Benefits of robotic hysterectomy over abdominal hysterectomy include smaller incisions and less post-operative pain.
Small scars remain on the skin of the abdomen.
Post-surgery, most women stay 0-1 nights in the hospital, followed by 4-6 weeks reduced activity.
The uterus is removed through the abdomen via a surgical incision about six to eight inches long. This procedure is most commonly used when the ovaries and fallopian tubes are being removed, when the uterus is enlarged, for women with large fibroids, or when disease has spread to the pelvic cavity, as in endometriosis or cancer. The main surgical incision can be made either vertically, from the navel down to the pubic bone, or horizontally, along the top of the pubic hairline.
If the uterus is very large or if there is a scar from an earlier operation, it may be necessary to make a vertical incision on the lower abdomen.
Post-surgery, most women stay 2-3 nights in the hospital, followed by 4-6 weeks reduced activity.
close Abdominal
The uterus is removed through the vaginal opening. This procedure is most often used in cases of uterine prolapse, or when vaginal repairs are necessary for related conditions. No external incision is made, which means there is no visible scarring. Of all hysterectomy procedures this involves the least post-operative pain.
Post-surgery, most women stay 0-1 nights in the hospital, followed by 4-6 weeks reduced activity.
close Vaginal
Laparoscopic hysterectomy is a procedure in which the uterus is removed through very small incisions on the lower abdomen. The surgeon inserts a laparoscope, a thin, flexible tube containing a video camera,through a cut in the belly button, and several other small incisions are made in the abdomen to place surgical tools. The uterus is then removed in sections through the laparoscope tube or through the vagina.
Small scars remain on the skin of the abdomen.
Post-surgery, most women stay 0-1 nights in the hospital, followed by 4-6 weeks reduced activity.
close Laparoscopic
Robotic hysterectomy uses a combination of high-definition 3D magnification, robotic technology and miniature instruments to improve a surgeon's ability to view, manipulate, and remove the uterus. Four-to-five small incisions are made in the abdomen to allow for slender robotic arms and tiny surgical tools to access the uterus.
Benefits of robotic hysterectomy over abdominal hysterectomy include smaller incisions and less post-operative pain.
Small scars remain on the skin of the abdomen.
Post-surgery, most women stay 0-1 nights in the hospital, followed by 4-6 weeks reduced activity.
close Robotic
Our Clinics
We offer everything from annual exams to care for complex problems for girls and women from infancy through menopause. We specialize in fibroids, urogynecology, and young adult gynecology.