and surrounding tissues are removed, including the fallopian tubes, part of the vagina, ovaries, lymph glands and fatty tissue There are three ways to carry out a hysterectomy: vaginal hysterectomy ??? where the womb is removed through a cut in the top of the vagina abdominal hysterectomy ??? where the womb is removed through a cut in the lower abdomen laparoscopic hysterectomy (keyhole surgery) ?