Hysterectomy in Melbourne (Uterus Removal)

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What is a Hysterectomy?

A hysterectomy is a surgical procedure that involves the removal of the uterus. The uterus or womb is the organ where blood and tissue shed from during menstruation. It is also the organ that fetal development occurs during pregnancy. This surgery can be total (removal of the entire uterus and cervix) or subtotal (removal of the uterus but not the cervix). Cervix is the lower part of the uterus that connects it to the vagina. Ovaries are typically preserved in hysterectomy for benign indications. Hysterectomy is typically performed to treat various gynaecological conditions, such as fibroids, adenomyosis, heavy menstrual bleeding, or cancer.

A hysterectomy typically takes around one hour to perform, though the duration may vary depending on the complexity of the procedure and the size of the uterus. While it is a common surgery, it is considered a major operation.

If you are seeking expert care and advice from a Hysterectomy Surgeon in Melbourne, please call us.

What are the Indications for a hysterectomy?

A hysterectomy is advised for a range of gynaecological issues. Common indications include:

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What Are The Types of Hysterectomy Procedures Available in Melbourne?

A Hysterectomy can be performed using a number of methods.

  • Open incision or abdominal – involves a large cut in the abdomen
  • Vaginal –  performed through the vaginal opening
  • Laparoscopic or “key-hole” – uses small incisions and a camera
  • Robotic hysterectomy – a specialised form of laparoscopy, integrates advanced robotic technology, enhancing vision, precision and control

Therefore, more complex cases such as large fibroid uterus can be performed through a minimally invasive route, rather than a large incision in the abdomen. Dr Kuswanto’s expertise centres specifically on robotic hysterectomy, ensuring utmost care and optimal outcomes.

Abdominal hysterectomies are typically performed to remove an enlarged uterus or when the ovaries need to be excised. This surgical procedure is done through an incision in the lower abdomen, allowing the surgeon direct access to the uterus and surrounding organs. Similar to a caesarean section, it will result in a scar across the lower part of the abdomen. In some cases, the incision is made vertically between the umbilicus to the pubic bone, to allow greater access to the pelvic organs.

The recovery period may include a few nights of hospital stay and several weeks of rest to ensure proper healing.

A vaginal hysterectomy is a surgical procedure in which the uterus is removed through an incision made in the vagina. This method is often chosen for the following conditions when the uterus is not enlarged:

Uterine prolapse
Heavy menstrual bleeding

Unlike an abdominal hysterectomy, a vaginal hysterectomy leaves no visible external scars and generally involves a shorter recovery time. The procedure typically requires fewer stitches, and patients often experience less postoperative pain. Recovery usually includes a brief hospital stay, followed by a few weeks of rest and limited physical activity to ensure proper healing.

What are the advantages of minimally invasive robotic uterus removal over other types of procedures?

A vast majority of hysterectomies can now be safely performed robotically, therefore allowing:

  • Less pain
  • Less blood loss during operation
  • Lower risk of infection
  • Lower risk of clot formation in legs (deep vein thrombosis) or lungs (pulmonary embolus) after surgery
  • Less scar tissue formation
  • Quicker recovery – usually 1-2 nights in the hospital, and returning to work in 2-3 weeks (depending on type of hysterectomy)

If you have been recommended to have an open incision on the abdomen for non-cancerous cases, ask your doctor or gynaecologist for a second opinion. You may be suitable for minimally invasive surgery. If so, Dr Kent Kuswanto is available for consultation for any robotic hysterectomy in Melbourne.

types of hysterectomy in melbourne
Image referenced from my.clevelandclinic.org

For patients undergoing Hysterectomy (uterus removal) in Melbourne with Dr Kuswanto

 

How can I prepare for a hysterectomy?

🗓️ 1-2 weeks before your surgery

Present to any Melbourne Pathology centres (list of addresses behind Melbourne Pathology form) for pre-operative blood tests – checking your blood counts, kidney and liver function, clotting profile and blood group and hold (in case you need blood transfusion). Please do not go to other pathology centres as the hospital you have been booked to have surgery in – Epworth uses Melbourne Pathology as their provider. Please stop blood thinning medications such as aspirin at least 7 days before the surgery. This also includes fish oil, ginkgo, ginger, garlic supplements. Please let us know if you are on long term prescription blood thinning medications.

🗓️ 2 days before your surgery

Have soft light diet that is easily digestible until your surgery. Nothing too chunky.

Do I have to fast before my hysterectomy procedure?

Start fasting at least 6 hours before the planned surgery time. This means nothing by mouth – no food, no water/fluid, no chewing gum. However, you can take your usual medications if needed by sips of water as early as possible.

🗓️ After the surgery – in the hospital

After surgery, Dr. Kuswanto will inform your next of kin about your status. Pain and nausea medication will be administered, along with a blood-thinning injection to reduce clot risks. A urinary catheter, if used, is removed the following morning, and blood tests are conducted. You may experience some pain, fatigue, and light vaginal bleeding during this time. Your medical team will manage pain and monitor your vital signs. Patients are encouraged to move and can usually be discharged after one night. A specialist may oversee your care if you have existing conditions.

 

🗓️ After the surgery – following discharge from hospital

After surgery, patients may experience shoulder tip pain due to diaphragm stretching, this usually resolves within a few days. It’s important to keep dressings dry and note that sutures are self-dissolving. You may remove your dressings after 7 days. Some vaginal bleeding is normal for up to 6 weeks. Avoid vaginal insertions for 6-8 weeks for healing. Heavy lifting, straining and sexual intercourse should be avoided during this time. Refrain from driving for 2 weeks and check with your insurer. Return to work varies by job type, typically 2-3 weeks post-surgery, with a medical certificate provided for recovery duration.

What is the recovery process of uterus removal like?

To optimise your hysterectomy recovery, you should rest, restrict physical activity, and follow all medical advice provided by your surgeon. Read our blog on Recovery After a Minimally Invasive Hysterectomy to learn more.

🗓️ Your follow-up visit

Follow-up appointments are normally booked at 2 weeks and 6 weeks after the surgery. Kent will discuss all the findings of the surgery. Again, please ask as many questions as you can, writing a list and bringing it up in your consult is a good way to remember all the questions.

 

Further Information about Undergoing Hysterectomy Surgery in Melbourne

Link to RANZCOG Patient Information on Hysterectomy.

Link to AGES Patient Information Video on Laparoscopic Hysterectomy

Why Choose Dr Kuswanto As Your Expert Hysterectomy Surgeon in Melbourne?

Dr Kent Kuswanto is an expert in complex gynaecological pelvic surgery and minimally invasive gynaecology surgery, including robotic surgery.

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    We also recommend calling our reception desk at (03) 9115 9338 during working hours for immediate response.

    HYSTERECTOMY FAQs

    There is potential risk of complications with any surgery that should be discussed with you before the surgery. These include:

    • Bleeding
    • Infection (such as skin wounds, vaginal wounds, bladder infection)
    • Damage to internal organs (bladder, ureters, bowel) and major blood vessels
    • Blood clots in legs or lungs
    • Hernia at skin incision site

    If you have any specific concerns, please mention them to your doctor.

    Only a skilled gynaecological surgeon experienced in robotic procedures should perform your robotic hysterectomy. Look for a specialist with extensive training, a proven track record in minimally invasive gynaecological surgery, and a focus on personalised care. Learn more about Dr. Kent Kuswanto’s expertise here, and book a consultation in either Melbourne or Werribee.

    Recovery after a minimally invasive hysterectomy

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