Hysterectomy

  • In the Total Laparoscopic Hysterectomy or TLH, the  remove the entire uterus is done Laproscopically. The ovaries may or may not be removed at the same time.
  • First, the scope is introduced through a small incision in the navel. Smaller incisions are then made in the lower abdomen, to allow for passage of additional instruments
  • During the Laparoscopic Hysterectomy or TLH, the surgeon separates the uterus (highlighted in picture) from its ligaments and blood vessels, then detaches it with an incision at the top of the vagina.
  • After the uterus is removed, the vaginal incision is closed, preserving vaginal depth
  • The procedure requires in general anesthesia, and a hospital stay of one to two days.
  • Recovery before returning to work is usually 1 to 2 weeks.

Laparoscopic Hysterectomy Surgery-

The Center for Advanced Gynecological Surgery remains on the leading edge of advancing, laparoscopic surgical techniques that offer less pain, fewer complications,and faster recovery than traditional operations.

What is Laparoscopic Surgery-

Laparoscopic surgery can be used to address a number of gynecologic conditions that used to require large incisions. These newer procedures include-

  • Laparoscopic Hysterectomy
  • Laparoscopic Supracervical Hysterectomy
  • Laparoscopic Burch Procedure
  • Laparoscopic Vault Suspension
  • Operative Hysteroscopy
  • Endometrial Ablation
  • Tension-free Vaginal Tape Sling Procedure

The following table compares differences ( Hysterectomy ) in average length of Hospital Stay and usual Recovery Time for some common operations that can now be performed using –Hysterectomy

Laparoscopic Hysterectomy Techniques

Procedure

Surgical Approach

Hospital Stay (Days)

Recovery (Weeks)

(Traditional) Abdominal Hysterectomy Abdominal 3 – 4 6
(Traditional) Vaginal Hysterectomy Vaginal 2 – 3 4 – 6
Laparoscopic Assisted Vaginal Hysterectomy Laparoscopic & Vaginal 1 – 2 2 – 3
Total Laparoscopic Hysterectomy Laparoscopic 1 – 2 2 – 3
Laparoscopic Supracervical Hysterectomy Laparoscopic Same Day or Overnight 2
Endometrial Ablation Hysteroscopic Same Day Less than 1 week