Hysterectomy: specialized surgical care

A hysterectomy is a gynecological surgery performed for the total or partial removal of the uterus. It is a procedure that can provide definitive relief for women with chronic uterine diseases or those who have not responded to clinical treatment. The decision to undergo a hysterectomy must always be carefully evaluated during a medical consultation, considering the patient's symptoms, health history, and reproductive goals.

Initial consultation: diagnosis and surgical plan

The process begins with a detailed consultation, where we evaluate symptoms such as heavy bleeding, chronic pelvic pain, a sensation of abdominal pressure, or a history of fibroids and other uterine changes. Previous exams, such as ultrasound, pelvic MRI, or diagnostic hysteroscopy, may be requested to assist in defining the surgical plan.

At this stage, the goal is to understand the patient's clinical and reproductive context, discuss the need for a hysterectomy, and present surgical approach options based on medical evidence and the team's experience. Providing support and clarifying doubts are essential for the patient to feel secure throughout the process.

Surgical approaches for hysterectomy

There are different ways to perform a hysterectomy. The choice of surgical approach depends on several factors, such as the size of the uterus, the presence of other associated conditions, previous surgeries, hospital access, and, of course, the patient's preferences.

• Abdominal hysterectomy: performed through an abdominal incision. Indicated for cases with large uteri or when a broad evaluation of the abdominal cavity is necessary.
• Vaginal hysterectomy: performed vaginally, without visible incisions. Frequently used in cases of uterine prolapse.
• Laparoscopic hysterectomy: minimally invasive, with small abdominal incisions. It offers less postoperative pain and a faster recovery. Learn more about laparoscopic hysterectomy.
• Robotic hysterectomy: performed with the aid of a robotic system. Ideal for complex cases, it provides high precision and less bleeding. Learn more about robotic hysterectomy.

Every case is unique. Our team carefully evaluates clinical factors and chooses the surgical approach in a personalized manner, with the patient's active participation. Safety and well-being are always priorities.

When is a hysterectomy indicated?

The main indications include:

• Large symptomatic uterine fibroids
• Adenomyosis with pain or heavy bleeding
• Cervical, uterine, or ovarian cancer (in early stages)
• Uterine prolapse
• Abnormal uterine bleeding refractory to treatment
• Deep endometriosis with uterine involvement

A hysterectomy can be total (removal of the uterus and cervix) or subtotal (removal of the body of the uterus, preserving the cervix). In some cases, the ovaries and fallopian tubes may also be removed, depending on age, symptoms, and oncological risk.

Postoperative care varies according to the chosen approach, but generally involves:

• Hospital discharge within 24 to 48 hours for minimally invasive approaches
• Relative rest for 7 to 15 days
• Adequate analgesia for home comfort
• Return to physical activities after 30 days (following medical evaluation)

To learn more about preparation and recovery care, read our guidelines:

• Preoperative guidelines
• Postoperative guidelines