When a gynaecologist advices a patient to undergo a surgical process for removing the uterus, the process is called vaginal hysterectomy.
The entire cervix and uterus gets removed in this process.
Furthermore, in vaginal hysterectomy treatment, the surgeon detaches the uterus from vagina and hence it is separated from ovaries, fallopian tubes and upper vagina as well. It is also disconnected from blood vessels and other connecting tissues supporting it.
The gynaecologist uses long instruments and the uterine blood vessels also get clamped by him and are then separated from ovaries, fallopian tubes etc.
Soon after the separation of uterus, absorbable stitches are done to ensure there is no bleeding inside the pelvis. The uterus gets removed via the vaginal opening.
When you have a laparoscopic hysterectomy surgery which is more like a vaginal surgery, you can go back home after one to four days. However, you need around 6-8 week time to ensure complete hysterectomy recovery.
Meanwhile, the recovery time becomes shorter in case of laparoscopy hysterectomy.
In a radical hysterectomy surgery, the whole uterus with tissues on its sides, the cervix, as well as the top part of the vagina is removed. This kind of surgery is generally done when a patient is suffering from cancer.
There is yet another surgery called Laparoscopically assisted vaginal hysterectomy (LAVH) where a laparoscope is used as a guiding hand in the removal of the uterus, fallopian tubes and ovaries via the vagina. In hysterectomy, a surgeon can also remove the ovaries as well as fallopian tubes.