Vaginal hysterectomy is the process of removing the uterus through the vagina. In this process, surgeons make an incision on the top of the body inside the vagina, and remove the uterus through the vagina. Unlike abdominal hysterectomy, vaginal hysterectomy does not leave a scar because the incision is made inside the body.
This type of hysterectomy is performed under general anesthesia, and patients are told not to eat or drink at least six hours before the surgery. There are two ways to perform a vaginal hysterectomy:
i. Direct vaginal hysterectomy
ii. Keyhole vaginal hysterectomy
Direct vaginal hysterectomy
In this process, special instruments are passed through the vagina. These instruments cut the cervix and the uterus, which are then removed from the body through the vagina. If there is any bleeding in the process, surgeons normally leave a dressing inside the vagina that soaks up the blood. They then stitch the top of the vagina to close it.
Keyhole vaginal hysterectomy
Under this technique, surgeons make small incisions on the lower abdomen of the patient. Through these incisions, they insert small telescopic cameras into the abdomen. With the help of the camera, the surgeons are able to detach the cervix and the uterus from the body. These are taken out through the vagina, and the vagina closed with the help of stitches.