Hysterectomy: Types of Surgical Incisions

Your surgeon will recommend one or more types of Reference hysterectomy Opens New Window (you may or may not have a choice, depending on your condition). An abdominal hysterectomy requires a larger incision. A vaginal or laparoscopic hysterectomy uses small incisions.

Abdominal hysterectomy. Two types of surgical incisions are used for an abdominal hysterectomy.

• The midline incision is made from just below the belly button (umbilicus) straight down the abdomen to just above the pubic hairline.
• A transverse incision (bikini line) is made just above the pubic hairline.

Vaginal hysterectomy. During a vaginal hysterectomy, the incisions to remove the uterus are made on the inside of the vagina.

Laparoscopic hysterectomy. To allow insertion of a small viewing instrument (Reference laparoscope Opens New Window) and surgical instruments, small incisions are made in the abdomen.

The vaginal and laparoscopic techniques are sometimes combined.

© 1995-2011, Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.

This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Reference Terms of Use. Reference How this information was developed to help you make better health decisions.