Abdominal Hysterectomy (Bikini line incision)

Removal of the uterus through an abdominal incision +/- removal of tubes and ovaries

Speciality Gynaecology
Urgency elective, urgent
Duration 1 to 2 h
Blood Loss 250 to 750 ml
Anaesthesia General Anaesthetic +/- Nerve Block
Anaesthesia II Regional: Spinal
Nerve Blocks Ilioinguinal / Iliohypogastric, TAP-Block
Procedures Urinary catheter
Pain moderate (+++)
Post-op Pain Nerve Block up to 10-30 hours
Post-op Pain II Tablets, Suppositories, Injection (im, iv), PCA
Hospital Stay 3 to 5 days
Full Recovery 4 to 6 weeks
Additional Info commonly post-operative nausea, more painful than vaginal hysterectomy, sexual activity usually after 6-8 weeks

Specialities