First, some basic facts about hysterectomy:
*A hysterectomy is the surgical removal of the uterus (hyster = uterus, ectomy = surgical removal).
*A hysterectomy is a fertility-ending procedure.
*A hysterectomy is not a cure for endometriosis (even if you also have bilateral salpingo-oophorectomy which is removal of tubes/ovaries), and, in a lot of cases, is not necessary to effectively treat the condition. If you have endometriosis, consider consulting with a specialist expert surgeon who can excise or “cut out” the endo lesions (completely different from the burn off methods used by average OB/GYNs). Often times, this can be effective in removing the DISEASE while leaving you with your organs intact. You can watch my story of overcoming endometriosis almost 7 years ago – without the loss of ANY reproductive organs – and conceiving a child naturally with fertility sparing excision surgery here.
*A hysterectomy is considered the definite treatment for adenomyosis (not to be confused with endometriosis).
*It’s a common MISCONCEPTION that a “partial” hysterectomy means ovaries left, “full” or “complete” or “radical” means “all reproductive organs removed”. THIS IS MEDICALLY INACCURATE.
*The cervix is the neck or lower part of the uterus – as such, a “partial” “sub-total” or “supracervical” hysterectomy means that the uterus was removed, but part of it – the cervix – (hence “partial”) was left behind.*A “total” hysterectomy means the entire uterus – including cervix – was removed.
*A “radical” hysterectomy involves the removal of the uterus/cervix, upper vagina, parametrium (the fibrous band of tissue that separates the supravaginal portion of the cervix from the bladder); often involves salpingo-oophorectomy (tubes/ovaries removed), as well as staging of cancer using lymph nodes. This is typically only performed in cancer patients.
*A hysterectomy is a surgery you can only have once. If you have your uterus removed, and later have your ovaries and/or tubes removed, that is not “two hysterectomies”.
*Removal of ovary(ies) is an oophorectomy, not a hysterectomy. Removal of fallopian tubes is a salpingectomy. Removal of both tubes and ovaries together is called a bilateral salpingo-oophorectomy.
Abbreviations/Helpful Terms/Commonly Related Procedures:
S = Supracervical or Subtotal (uterus leaving cervix behind)
A = Abdominal (can also stand for “assisted” when used in term LAVH)
V = Vaginal
H = Hysterectomy
TLH = Total Laparosopic Hysterectomy
LSH = Laparoscopic Supracervical Hysterectomy
TVH = Total Vaginal Hysterectomy
LAVH = Laparoscopic Assisted Vaginal Hysterectomy
dvTH = Total Hysterectomy using daVinci
dvSH = Supracervical Hysterectomy using daVinci
TAH = Total Abdominal Hysterectomy
SAH = Supracervical Abdominal Hysterectomy
Oophorectomy = removal of ovary(ies)
Salpingectomy = removal of tube(s)
Unilateral = one
Bilateral = both
BS = Bilateral Salpingectomy (removal of both fallopian tubes, ovaries left remaining)
BSO = Bilateral Salpingo-Oophorectomy (removal of both tubes/ovaries)
RSO = Right Salpingo-Oophorectomy (removal of right tube/ovary)
LSO = Left Salpingo-Oophorectomy (removal of left tube/ovary)
To successfully abbreviate your surgery, simply find the term for your specific type of hyster and then add any additional procedures using a + sign.
Example: Total Laparoscopic Hysterectomy + Bilateral Salpingectomy = TLH+BS
(removal of uterus/cervix + fallopian tubes using the laparoscopic approach).
Visual Explanations of the Various Types of Hysterectomy:
All clips are animated – no graphic stuff.
Total Laparoscopic Hysterectomy or “TLH” –
In this surgery, 2-5 small incisions are made on the abdomen, however, no vaginal incision is made (although the vagina is used for organ removal). Surgery is performed entirely using the laparoscope. Uterus/cervix removed through the vagina intact and then the vaginal cuff is created. https://www.youtube.com/watch?v=gMMJIvwjOD4
Laparoscopic Supracervical Hysterectomy or “LSH” –
Surgery performed entirely using laparoscope. Using a tool called a morcellator, the uterus is cut into pieces and then removed through the abdomen. Cervix remains.
Laparoscopic Assisted Vaginal Hysterectomy or “LAVH” –
In this surgery, 2-5 small incisions are made on the abdomen, as well as an incision made vaginally. The surgery combines the vaginal and laparoscopic approach. The uterus is removed vaginally. https://www.youtube.com/watch?v=IZ58IcxoDjU
Total Vaginal Hysterectomy or “TVH” –
In this surgery, a cut is made vaginally. No incisions are made on the abdomen.
The surgery is performed entirely through the vagina. Uterus/cervix are removed vaginally. https://www.youtube.com/watch?v=iMkaGSRZeYs
DaVinci Total Hysterectomy or “dvTH” –
Removal of uterus and cervix using robotic-assisted technology. http://www.methodisthealthsystem.org/daVinciHysterectomyAnimation
DaVinci Supracervical Hysterectomy or “dvSH” –
Similar to a daVinci total hyster, the variation here is that the cervix is left behind. https://www.youtube.com/watch?v=btOqKqtxsG0
Total Abdominal Hysterectomy or “TAH” –
This surgery removes the uterus/cervix using a c-section style incision. https://www.youtube.com/watch?v=050kjJpsNLg
Supracervical Abdominal Hysterectomy or “SAH”-
Similar to a TAH, the variation here is that the cervix is left behind. https://www.youtube.com/watch?v=050kjJpsNLg