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Hysterectomy types
Hysterectomy Types & Techniques

By Paul MacKoul, MD – Laparoscopic GYN Surgeon and Co-Founder of CIGC.

Last updated: July 7, 2021

Hysterectomy Types and Techniques

Having a hysterectomy involves several important decisions for the patient and doctor, most notably concerning the type of hysterectomy — meaning which organs are involved — and the surgical technique, or approach, used to perform it.

A surgeon considers several factors when recommending both the type of hysterectomy and the method used to access the organs. These factors include any underlying diseases, health conditions, the size of the uterus and the patient’s age and preferences.

On This Page

Hysterectomy Types

CIGC’s fellowship-trained experts have performed thousands of hysterectomies and can help determine what type of procedure is right for you.

Partial Hysterectomy without removal of the ovaries

Partial hysterectomy means that only the uterus, tubes, and cervix are removed. The ovaries are not removed, so menopause will not occur. Any hysterectomy type performed should always remove the fallopian tubes, since this will significantly decrease the risk of tubal cancer.1

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Supracervical Hysterectomy

In a supracervical hysterectomy, the cervix is kept intact. The uterus is removed above (“supra”) the cervix. The fallopian tubes are removed and the ovaries can either be removed or retained.

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Complete Hysterectomy with Removal of the Ovaries

Complete hysterectomy means that the uterus, fallopian tubes, and cervix are removed along with the ovaries. It is important to understand that the ovaries make the important female hormone estrogen, not the uterus. Since the ovaries are removed, estrogen will no longer be made, and menopause will result. For patients in menopause, estrogen therapy is a very safe and effective option to control menopausal symptoms and can be started immediately after the procedure.

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Hysterectomy Techniques

Hysterectomy procedures can be performed through three different approaches: laparoscopic (minimally invasive), vaginal (through the vagina), or open (through a large incision).

Laparoscopic hysterectomy is performed through a standard approach, robotics, or DualportGYN. CIGC surgeons exclusively perform DualportGYN procedures, and do not perform robotic or open surgery for hysterectomy. DualPortGYN® is an advanced surgical approach that allows the patient to go home the same day. It requires less time under anesthesia and just two small incisions. Patients experience less pain, smaller incisions, fewer complications and a shorter recovery time compared to robotic or standard laparoscopic methods.

DualPortGYN Compared to Other Hysterectomy Methods

DualPortGYN Procedure Standard Laparoscopic Robotic Vaginal Open
LENGTH OF PROCEDURE
30 min - 1 hour
2-3 hours
2-3 hours
1 1/2 hours
1-2 hours
NUMBER OF INCISIONS
2 (5mm)
4 (5mm)
3-7 (8-12mm)
0
1 Large (10-15cm)
HOSPITAL STAY
0 days
0-1 day
1-2 days
1 day
1-3 days
RECOVERY TIME
About 1 week
Up to 3 weeks
Up to 6 weeks
3-4 weeks
Up to 8 weeks
CONVERSION TO OPEN PROCEDURE
0%
4.8%
0.4%
0
N/A
COMPLICATION RATES DURING SURGERY
2.1%
5.8%
5.6%
9.6%
15%

Results published in Gynecological Surgery 
Comparative results for Open Hysterectomy estimated from literature review of comparable studies.

DualPortGYN Hysterectomy: The CIGC Choice for Laparoscopic Hysterectomy

Other Surgical Approaches

CIGC surgeons do not use Robotic, Standard Laparoscopic, Vaginal, or Open surgery to perform hysterectomy. Please refer to published studies by CIGC comparing hysterectomy approaches for further information and verification in this website.

For completeness, a short summary of these procedures is included.

Robotic Hysterectomy

Laparoscopic Hysterectomy

Vaginal Hysterectomy

Open Hysterectomy

Consult an Expert for More Information

CIGC’s hysterectomy specialists can help you learn more about the significant advantages of the DualportGYN approach to hysterectomy. Contact our team to schedule an evaluation.

References

 

1ACOG Committee Opinion No. 774 Summary: Opportunistic salpingectomy as a strategy for epithelial ovarian cancer prevention. Obstet Gynecol. 2019;133(4):842-843. doi:10.1097/AOG.0000000000003165

2Danilyants, N, MacKoul, P, van der Does, L et al. A value-based evaluation of minimally invasive hysterectomy approaches. Gynecol Surg. 2019:16(5)

3Committee Opinion No 701: Choosing the route of hysterectomy for benign disease. Obstet Gynecol. 2017:129(6):e155-e159. doi: 10.1097/AOG.0000000000002112

4Lee S, Oh S, Cho Y et al. Comparison of vaginal hysterectomy and laparoscopic hysterectomy: a systematic review and meta-analysis. BMC Womens Health. 2019;19(1):83.

5Mayoclinic.org