Abdominal hysterectomy may be recommended if an individual has a large uterus, or if a doctor wants to check other pelvic organs for signs of disease, according to Mayo Clinic. It requires less specialized surgical skill and training than a vaginal hysterectomy or a laparoscopically assisted vaginal hysterectomy, notes WebMD.
An abdominal hysterectomy is usually required if uterine fibroids are larger than 8 inches across, states WebMD. It is also used when an ovarian mass is suspected or to remove endometriosis implants and adhesions. A hysterectomy may be the best treatment option for treating gynecologic cancers such as cancer of the uterus or cervix, explains Mayo Clinic. A hysterectomy may be necessary to repair uterine prolapse, a condition in which the uterus descends into the vagina when the supporting ligaments and tissues weaken. This can lead to urinary incontinence, pelvic pressure or difficulty with bowel movements.
An abdominal hysterectomy is a surgical procedure that removes the uterus through an incision in the lower abdomen, explains Mayo Clinic. A partial hysterectomy removes just the uterus, and a total hysterectomy removes the uterus and the cervix. Sometimes a hysterectomy includes removal of one or both ovaries and fallopian tubes, a procedure called total hysterectomy with salpingo-oophorectomy.