Hysterotomy abortion is opening the uterus through a small abdominal incision inorder to remove the fetus under general anaesthesia for a third trimester pregnancy. The umblical cord is cut depriving the fetus of oxygen and then the uterus tissue is removed
Hysterotomy is an incision opening that opens the endometrial cavity usually via abdominal route for completion of procedure of abortion. Hysterotomy, though rarely used, may seldom be required for completion of abortion, in second and even first trimester
The important advantage of hysterotomy abortion is complete avoidance of the uterine cervix it was first described by Fuchs in 1939. It can be combined with a sterilizing operation on the Fallopian tubes. A short longitudinal incisioln is made in the mid-line of the anterior uterine wall below the fundus.