Laparoscopic subtotal hysterectomy

What is a subtotal hysterectomy?

A subtotal hysterectomy is an operation to remove part of your uterus (womb). Your ovaries may need to be removed at the same time (see figure 1).

What are the benefits of surgery?

Common reasons for having a subtotal hysterectomy include heavy or painful periods, and fibroids, where the muscle of your womb becomes overgrown.

Laparoscopic subtotal hysterectomy diagram

Are there any alternatives to a subtotal hysterectomy?

Heavy periods can be treated using a variety of oral medications, an IUD (intra-uterine device), or by removing only the lining of your womb.

Depending on the size and position of fibroids, you can take medication to try to control the symptoms. Other treatments include surgery to remove the fibroids only or uterine artery embolisation.

What does the operation involve?

The operation is usually performed under a general anaesthetic and usually takes about 90 minutes.

Your gynaecologist will make several small cuts on your abdomen. They will insert surgical instruments, along with a telescope, inside your abdomen and perform the operation.

Your gynaecologist will separate your womb and usually remove it through one of the small cuts on your abdomen.

What complications can happen?

General complications

  • Pain
  • Feeling or being sick
  • Bleeding
  • Infection of the surgical site (wound)
  • Unsightly scarring
  • Developing a hernia in the scar
  • Blood clots

Specific complications

  • Surgical emphysema
  • Damage to structures such as your bowel, bladder or blood vessels
  • Developing a hernia
  • Conversion to an abdominal hysterectomy
  • Pelvic infection or abscess
  • Developing a fistula (abnormal connection)
  • Damage to structures close to your womb
  • Developing a haematoma (collection of blood)
  • Implantation of fibroid seedlings
  • Spread of endometrial cancer
  • Spread of cancer

Long-term problems

  • Prolapse (a bulge of your vagina)
  • Continued pain
  • Adhesions
  • Stress incontinence
  • Feelings of loss (a subtotal hysterectomy will make you infertile)
  • Menopause, even if your ovaries are not removed

How soon will I recover?

You will usually be able to go home the same day or after one to two days.

Rest for two weeks and continue to do the exercises that you were shown in hospital. You should continue to improve.

You can usually return to work after four weeks, depending on your type of work.

You should be feeling more or less back to normal after two to three months.

Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, ask the healthcare team or your GP for advice.

Summary

A subtotal hysterectomy is a major operation usually recommended after simpler treatments have failed. Your symptoms should improve.

Self-pay guide price

From £5,855

 

Self-pay package details

Laparoscopic subtotal hysterectomy is performed at The Foscote Hospital by

  • Mr Hikmat Naoum

    Mr Hikmat Naoum

    Consultant Gynaecologist

    MDChB MSc FRCOG

    Learn more
  • Mr Jonathan Nicholls gynaecologist

    Mr Jonathan Nicholls

    Consultant Gynaecologist

    MB BS MD MRCOG

    Learn more
  • Miss Uloma Okwuosa

    Miss Uloma Okwuosa

    Consultant Gynaecologist

    MBBS DFSRH MRCOG

    Learn more
  • Mr Mohamed Raheem gynaecologist

    Mr Mohamed Raheem

    Consultant Gynaecologist

    MBBS MRCOG

    Learn more

Acknowledgements

Author: Mr Jeremy Hawe MBChB MRCOG and Dr Clare Myers MBBS FRANZCOG

Illustrations: Medical Illustration Copyright © Nucleus Medical Art. All rights reserved. www.nucleusinc.com

This page is intended for information purposes only and should not replace advice that your relevant health professional would give you.

Copyright © 2018 EIDO Healthcare Limited. The operation and treatment information on this website is produced by EIDO Healthcare Ltd and used under licence by The Foscote Hospital. The intellectual property rights to the information belong exclusively to EIDO Healthcare Limited. You may not copy, print out, download or otherwise reproduce any of the information other than for your personal, non-commercial use.