Is a hysterectomy a major surgery?

Jul 10, 2025 Source: Cainiu Health
Dr. Zhang Lu
Introduction
Laparoscopic and other minimally invasive surgical procedures involve small incisions, minimal blood loss, reduced tissue damage, and faster postoperative recovery. These procedures are suitable for patients with relatively simple medical conditions and no severe adhesions, and are associated with lower surgical risks, thus not classified as major surgeries in the traditional sense. However, if abdominal surgery is required due to severe disease, it involves larger incisions and complex procedures, or if the patient has underlying medical conditions such as heart disease or diabetes.

Whether a hysterectomy is considered a major surgery generally depends on the surgical approach and the patient's condition. Minimally invasive procedures such as laparoscopic hysterectomy involve relatively less trauma, while open abdominal hysterectomy or cases involving patients with poor physical condition may result in greater trauma. If there are concerns, it is recommended to seek medical consultation in advance. Detailed analysis is as follows:

Minimally invasive surgeries such as laparoscopic hysterectomy involve small incisions, minimal blood loss, reduced damage to surrounding tissues, and faster postoperative recovery. This type of surgery is suitable for patients with uncomplicated conditions and no severe adhesions. The surgical risk is relatively low and it does not fall into the traditional category of major surgeries.

If an open abdominal procedure is required due to severe disease, such as large incisions and complex procedures, or if the patient has underlying medical conditions such as heart disease or diabetes, the risks of bleeding and infection during surgery increase, postoperative recovery is slower, and the physical trauma is greater, thus falling within the category of major surgeries.

When planning a hysterectomy, a comprehensive evaluation of the patient's medical condition and physical status should be conducted to determine the appropriate surgical approach. Postoperative care should follow the doctor's instructions, and prompt medical attention should be sought if abnormal bleeding or severe pain occurs.

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