What is a Hysterectomy?

A hysterectomy is a surgical procedure to remove a woman’s uterus (womb). You might need a hysterectomy for various reasons, including chronic conditions, endometriosis, infections, uterine cancer, and other problems. The type of hysterectomy depends on the specific conditions and goals. In most cases, the surgeon removes the entire hysterectomy with the cervix (total hysterectomy), and, in some cases, the surgeon also removes the fallopian tubes and ovaries (salpingo-oophorectomy). Dr. Aram Bonni specializes in laparoscopic hysterectomy, a minimally invasive variation of the surgery that’s far safer than the abdominal technique.

You Might Need a Hysterectomy if You Have…

  • Chronic pelvic pain
  • Severe vaginal bleeding
  • Abnormal uterine bleeding
  • Uterine or cervical cancer
  • Benign tumors (fibroids) in the uterus
  • Pelvic inflammation
  • Uterine prolapse
  • Endometriosis

Dr. Bonni’s Hysterectomy Options

A hysterectomy can be performed using numerous techniques and methods, each requiring general or local anesthesia. However, Dr. Bonni prefers using the minimally invasive laparoscopic technique because it involves making smaller incisions on the abdomen, which, in turn, reduces the risk of infections and other complications. Laparoscopic hysterectomy also minimizes visible scars because the incisions are extremely small. Dr. Bonni’s hysterectomy options include — Laparoscopic Hysterectomy (LH) and Laparoscopic Supracervical Hysterectomy (LSH).

Laparoscopic Hysterectomy (LH)

Laparoscopic hysterectomy is a minimally invasive surgery wherein the surgeon inserts a small tube-like device called a laparoscope through a small incision on the abdomen. The laparoscope includes a high-resolution camera and a high-intensity light to visualize the hysterectomy. Once the laparoscope is inside, the surgeon makes 3 to 4 more incisions on the abdomen to insert the surgical tools. Using the laparoscope for the visuals, the surgeon cuts the uterus into small pieces and removes it piece-by-piece.

Laparoscopic Supracervical Hysterectomy (LSH)

The supracervical hysterectomy technique allows the surgeon to remove the uterus while leaving the cervix behind. There is no evidence that leaving the cervix behind is more advantageous than removing the entire uterus and cervix. However, some surgeons perform the LSH method due to the lack of sufficiently advanced laparoscopic skills necessary for a total hysterectomy. Dr. Bonni usually provides a total laparoscopic hysterectomy, only recommending the supracervical technique in special cases, such as when the patient has a history of abnormal PAP smears.

Recovering from Your Hysterectomy

Laparoscopic hysterectomy is performed as an outpatient procedure, so you can return home the same day. The laparoscopic technique’s complete recovery period extends to 2 weeks, whereas the abdominal hysterectomy involves a recovery period of 4 to 6 weeks. You’ll experience some pain and discomfort for a few days, manageable with pain medications. You should ideally start moving around as soon as possible. Most women resume their daily activities and work within a week, but sexual intercourse should be avoided for a few weeks.

Why Choose Dr. Bonni?

Dr. Aram Bonni, MD, FACS, FACOG, is a double board-certified and fellowship-trained cosmetic and reconstructive surgeon specializing in female pelvic medicine and reconstructive surgery. He specializes in the laparoscopic hysterectomy technique, ensuring optimal results without major side effects or complications. For more information on hysterectomy, please schedule a consultation with Dr. Bonni.