Signs & Symptoms
Recognize the early signs that indicate you may need medical attention
Very Heavy Bleeding
Severe menorrhagia from a very large fibroid uterus unresponsive to all medical management.
Complex Endometriosis
Stage IV endometriosis with dense adhesions requiring open surgical clearance.
Gynaecological Cancer
Cervical, endometrial, or ovarian cancer requiring radical hysterectomy and full pelvic staging.
Very Large Uterus
Uterine size > 18–20 weeks from fibroids where vaginal or laparoscopic approach is not feasible.
Previous Abdominal Surgery
Multiple previous caesarean sections or bowel surgery with significant adhesion burden.
Failed Keyhole Attempt
Conversion from laparoscopic to open surgery for patient safety during complex cases.
Common Causes & Risk Factors
Very Large Fibroid Uterus
Giant or multiple fibroids making the uterus too large for safe laparoscopic or vaginal removal.
Advanced Endometriosis
Severe pelvic adhesions from endometriosis requiring careful open dissection to protect adjacent organs.
Gynaecological Malignancy
Cancer of the uterus, cervix, or ovary requiring open radical surgery and lymph node dissection.
Pelvic Abscess or Infection
Tubo-ovarian abscess or pelvic inflammatory disease unresponsive to antibiotics requiring surgical drainage.
Obstetric Emergencies
Peripartum hysterectomy for life-threatening placenta accreta or massive postpartum haemorrhage.
Treatment Options
Advanced minimally invasive techniques for better outcomes and faster recovery
Thorough Pre-Op Planning
CT/MRI imaging, tumour markers, bowel prep, and anaesthesia assessment for complex cases.
TAH with BSO
Total abdominal hysterectomy with bilateral salpingo-oophorectomy (removal of tubes and ovaries).
Radical Hysterectomy
Extended hysterectomy with parametrial tissue and pelvic lymph nodes for cervical cancer.
Intensive Post-Op Care
ICU or HDU monitoring, drain management, and physiotherapy for smooth recovery.
Benefits at Chahal Hospital
Complete Access
Open surgery allows full visualisation and access to all pelvic structures including lymph nodes.
Safe for Complex Cases
Preferred when laparoscopic surgery poses higher risk due to adhesions, large tumours, or obesity.
Oncological Completeness
Open approach ensures adequate margins and thorough lymph node staging for gynaecological cancers.
Expert Team
Dr. Suneet Chahal works with a multidisciplinary team including oncology and anaesthesia.
ICU Support
Dedicated ICU team for post-operative monitoring of complex or cancer hysterectomy cases.
Comprehensive Care
From pre-operative counselling to physiotherapy and psychological support through recovery.
Your Specialist
Frequently Asked Questions
TAH is preferred for very large uteri, suspected malignancy requiring lymph node dissection, severe pelvic adhesions, or when intraoperative complications require conversion to open surgery.
Typically 3–5 days. Patients with cancer or complex cases may stay longer for close monitoring and drain removal.
Full recovery takes 6–8 weeks. Driving can resume at 4–6 weeks, heavy lifting at 8 weeks. Walking and light activity are encouraged from day 2.
If your ovaries are removed (BSO), you will enter surgical menopause immediately. If ovaries are preserved, menopause occurs naturally at the usual age.
Yes. We have a fully equipped, blood-bank-supported operation theatre, ICU backup, and an experienced team, ensuring the highest safety standards for all hysterectomy procedures.
Ready to Get Treatment?
Consult our expert specialists for TAH – Total Abdominal Hysterectomy. Advanced, minimally invasive care with faster recovery and lasting results.