Your surgeon will recommend one or more types of
hysterectomy (you may or may not have a choice,
depending on your condition). While an abdominal hysterectomy requires a larger
incision, a vaginal or laparoscopic hysterectomy uses small incisions.
Abdominal hysterectomy. Two types of surgical
incisions are used for an abdominal hysterectomy.
- The midline incision is made from just below the
belly button (umbilicus) straight down the abdomen to just above the pubic
hairline.
- A transverse incision (bikini line) is made just above
the pubic hairline.
Vaginal hysterectomy. During a vaginal
hysterectomy, the incisions to remove the uterus are made on the inside of the
vagina.
Laparoscopic hysterectomy. To allow insertion
of a small viewing instrument (laparoscope) and surgical instruments,
small incisions are made in the abdomen.
The vaginal and laparoscopic techniques are sometimes
combined.