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What type of doctor should perform a hysterectomy?

Dr. Hugo D. Ribot, MD
OBGYN (Obstetrician & Gynecologist)

Ideally, the type of doctor who should perform a hysterectomy would be not only a gynecologist, but a one with the ability to perform the procedure in a minimally invasive fashion.

Depending on the patient's medical and surgical history, her diagnosis, and the indications for doing the hysterectomy, the best technique might be a:

  • TVH (total vaginal hysterectomy) where the entire operation is performed through the vagina, without any abdominal incisions
  • TLH (total laparoscopic hysterectomy) where the entire procedure is done using tiny instruments which access the abdominal/pelvic cavity through small "Band-Aid" incisions, and the specimen is delivered through the vagina

Using technology and instrumentation that has been available since the early 1990s, a skilled surgeon can accomplish 99 percent of all their cases without resorting to a large, painful incision in the abdomen (the TAH or total abdominal hysterectomy). Though rare, there are some indications remaining for an abdominal approach to hysterectomy.

In addition, using various ancillary technical and pharmaceutical modifications, there are only very rare reasons why the vast majority of these hysterectomies cannot be done in a truly outpatient fashion, with the patient safely returning home the very same day as the operation.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.