Radical hysterectomy scar: what to know

An open operation commonly leaves a lower abdominal incision, while minimally invasive surgery may use several small abdominal incisions. The number, position and length of scars depend on the surgeon's route, your anatomy and whether additional procedures are needed. Early on, the skin can look swollen, bruised, red or raised; a firm or itchy feeling can occur as healing progresses. Scar colour and texture often change gradually.

A scar does not show what the operation found or whether treatment worked. The pathology discussion and follow-up appointments provide that information. You can read about the procedure on the [Radical Hysterectomy](/treatments/surgical-oncology/radical-hysterectomy/) page.

Follow the discharge instructions for washing, dressings and showering. Do not pick at scabs or apply creams, oils or silicone products unless the team says the wound is closed and the product is appropriate. Wear loose clothing, support the abdomen when coughing, and increase movement gently. Protect a healed scar from strong sunlight. Ask when scar massage, swimming, driving and lifting can restart.

Keep a simple record of changes in pain, swelling, drainage and skin colour so you can describe them accurately at review.

Call the care team promptly if the incision opens, becomes increasingly hot or red, drains pus or blood, develops worsening swelling, or is accompanied by fever or escalating pain. Seek urgent help for severe breathlessness, sudden chest pain, fainting or a painful swollen leg.

Ask which approach was used, how the incision should be covered, whether your stitches or clips need removal, when bathing is allowed, what scar products are suitable, and whom to contact outside clinic hours.