Consultant Gynocologist in London

Open hysterectomy surgery in London

At London Gynaecology Clinic, we offer expert open hysterectomy surgery, delivered with compassion by our specialist consultant and surgical team. Open hysterectomy, also known as abdominal hysterectomy, involves removing the uterus through a cut in the lower abdomen. This method is usually recommended when less invasive keyhole techniques are not possible, such as with very large fibroids or complex gynaecological conditions.

As experienced hysterectomy consultants, we focus on clear explanations and personalised plans, ensuring every patient receives the highest quality care from consultation to full recovery.

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For more information on related procedures, jump back to our procedures page.

 


What the procedure involves

Open hysterectomy surgery at London Gynaecology Clinic is performed under general anaesthetic. A cut is made in your lower abdomen, either across the bikini line (horizontal) or vertically, depending on your medical needs. Through this incision, we carefully detach the uterus and remove it. In some situations, the cervix, ovaries, or fallopian tubes are also removed, particularly in cases of womb, ovarian, or cervical cancer, or if these organs are affected by severe endometriosis or large fibroids.

Once the affected tissues have been safely excised, the abdominal incision is closed using dissolvable stitches or staples. The procedure provides your surgeon with direct access to the pelvic organs, which is essential for complex fibroid removal or hysterectomy for a large uterus that cannot be removed laparoscopically. During your stay at our London hospital, we closely monitor your well-being and provide complete aftercare advice for a smooth start to your recovery.

If you'd like to discuss the details of the operation, how we keep you comfortable, or your options for laparoscopic hysterectomy, please let us know at your initial consultation. Our priority is to offer clear, caring support through every stage of your treatment.

Why it is done

We recommend open hysterectomy surgery at London Gynaecology Clinic when treating large fibroids, gynaecological cancers, severe endometriosis, uterine prolapse or when keyhole (laparoscopic) techniques aren't safe or possible. This approach is often chosen for hysterectomy for large uterus or complex fibroids requiring direct surgical access.

Benefits

Open hysterectomy surgery gives definitive relief from heavy bleeding, pelvic pain, and troublesome symptoms, especially with large fibroids or cancer. It enables your specialist gynaecologist to remove affected tissues thoroughly in a single procedure, optimising your chance for a good recovery.

Risks and complications

As with all major surgery, open hysterectomy carries some risks. These can include bleeding, infection, injury to the bladder or bowel, blood clots, and reactions to anaesthesia. Recovery after open hysterectomy is usually longer than after laparoscopic procedures.

Recovery and aftercare

After open hysterectomy surgery, most patients stay in hospital for 3 to 5 days. Light activity is possible after a few weeks, but full recovery takes about 6 to 8 weeks. Avoid lifting heavy objects for 6 weeks, and you can drive again in 4 to 6 weeks.

 When to contact your doctor

Contact your doctor if you develop a temperature, have severe pain, heavy bleeding, unexpected wound problems, difficulty passing urine or bowels, leg swelling or shortness of breath.

 

 

FAQS

When is an open hysterectomy recommended over laparoscopic surgery?

Open hysterectomy surgery is usually recommended when keyhole surgery isn’t suitable, such as with very large fibroids, complex gynaecological cancers, or certain cases of severe endometriosis where direct access to pelvic organs is required.

How long will I be in hospital after open hysterectomy surgery?

Most patients remain in hospital for 3–5 days following open hysterectomy surgery at London Gynaecology Clinic to ensure safe initial recovery and pain management.

What is the typical recovery time after open hysterectomy surgery?

Full recovery after open hysterectomy surgery generally takes 6–8 weeks. Light activity can resume after 2–3 weeks, and normal daily routines usually return within two months.

Will open hysterectomy cure heavy bleeding or pelvic pain?

Yes, open hysterectomy surgery is a definitive treatment for persistent heavy bleeding and pelvic pain associated with fibroids, endometriosis, or other uterine conditions.

What kind of scar should I expect after open hysterectomy surgery?

You will have a scar on your lower abdomen, either horizontal across the bikini line or vertical, depending on your specific surgery needs and medical condition.

Are there risks or complications with open hysterectomy surgery?

Risks include bleeding, infection, injury to nearby organs, blood clots, and a longer recovery time compared to laparoscopic hysterectomy. Our clinic provides thorough support to minimise these risks.

 

Book A Consultation Now

Take control of your health with experienced open hysterectomy surgery care in London. We provide clarity, reassurance, and support from first meeting to full recovery. Book your a consultation with London Gynaecology Clinic and take the first step towards lasting relief.

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