A hysterectomy is a surgical procedure involving the removal of a woman's uterus. It is performed for various medical reasons, including the treatment of conditions such as uterine cancer, severe endometriosis or abnormal bleeding that does not respond to other treatments. It may also be recommended for other reasons as part of a prolapse repair or if precancerous cells are found lining the wall of the uterus. Depending on the specific case, a hysterectomy may involve removing the entire uterus or only certain parts, such as the uterus and cervix. This surgery is considered a definitive solution for certain gynecological issues, and its appropriateness is determined based on the patient's health condition and the nature of the underlying medical issues. Please visit our page on hysterectomies for further information.

Hysterectomies can be performed via several different approaches:

  • Laparoscopic (keyhole): In this method, slender instruments and a camera are inserted through four small incisions in the abdomen. It stands as the predominant approach employed by our East gynecologists for hysterectomies. Our skilled practitioners collaborate, utilizing 30-degree telescopes and advanced morcellation techniques to mitigate potential complications, ensuring a swift and smooth recovery from the surgery.
  • Vaginal: This method is more common when the uterus is small or in women with a history of vaginal births. It entails a surgery that leaves no abdominal incisions, as the entire procedure is conducted through the vagina. Traditionally associated with the least risks of complications and optimal recovery outcomes, this approach is highly regarded for its effectiveness.
  • vNOTES (Vaginal Natural Orifice Transillumination Endoscopic Surgery): Uniting both vaginal and laparoscopic techniques in a hysterectomy, this cutting-edge approach represents the latest in medical technology. Offered only by a limited number of gynaecologists in Adelaide, it is particularly recommended when combined with additional vaginal procedures, such as prolapse repair. This method allows your surgeon to access and operate on your tubes and ovaries while avoiding the need for abdominal incisions - a feat typically unattainable with traditional vaginal approaches.
  • Open: This traditional surgical approach is where a large incision is made in the abdominal wall to access and remove the uterus. During an open hysterectomy, the surgeon makes a vertical or horizontal incision, commonly known as a laparotomy, to gain direct visibility and access to the pelvic organs. The recommendation for an open hysterectomy at East is exceptionally rare. Typically reserved for women with an unusually large uterus extending to, or beyond, the umbilicus, this approach is used prudently by our team.

As always, your East gynaecologist will consider your individual circumstances when recommending the best approach for your surgery. We are committed to providing you with the education required to make your own informed choices regarding your healthcare.