TLH (Total Laparoscopic Hysterectomy)

Uterus cancer, abnormal uterine bleeding, genital prolapse and chronic pelvic pain are some of the common reasons that hinder the regular functioning of the uterus. This can be treated by laparoscopic removal of the uterus.

What is total laparoscopic hysterectomy?

Total laparoscopic hysterectomy is a minimally invasive surgical procedure performed for the removal of the uterus. It is used to treat the conditions that affect the female reproductive parts. The procedure is usually performed in case of uterine or cervical cancer.

What are the types of hysterectomy?

Depending on the reason behind the surgery and the portion of the reproductive system left behind safely, the types of hysterectomy is classified as:
Total hysterectomy – This includes the removal of complete uterus and cervix.
Supracervical hysterectomy – In this type of hysterectomy, only the uterus is removed leaving behind the cervix.
Total hysterectomy with bilateral salpingo-oophorectomy – This type of hysterectomy involves the removal of the fallopian tubes and ovaries.

Radical hysterectomy – This includes the removal of structures around the uterus which is mostly recommended for cancer diagnosis.

Who are the candidates for laparoscopic hysterectomy?

The individuals who have the following conditions are considered the right candidates for undergoing laparoscopic hysterectomy:

  • Pelvic inflammatory disease
  • Uterus cancer
  • Endometriosis
  • Prolapse of the uterus
  • Abnormal uterine bleeding
  • Uterine fibroids
What are the benefits of laparoscopic hysterectomy?
The following are the benefits of laparoscopic hysterectomy:

  • Smaller incisions
  • Less post-operative pain
  • Most desirable results
  • Reduces the risks of complications
  • Before the procedure

It is important to stay fit and healthy before undergoing the surgery which helps reduce the risk of developing complications post-surgically.

The doctor recommends certain measures that must be followed before undergoing the surgery which includes:

  • Stop smoking and consuming alcohol to avoid negative consequences.
  • Eat a healthy and balanced diet.
  • Inform the doctor about the use of regular medications.
  • Exercise regularly to lose weight (in case of overweight).
  • Schedule a general checkup before the treatment to ensure that the individual is fit.
During the procedure
Before starting the procedure, the surgeon administers anesthesia to numb the lower part of the body. An incision is made, through which a tiny camera in inserted to view the internal structures. Another one or two incisions are made to insert the specialized instruments to remove the uterus. The procedure lasts for 2-3 hours and requires less time for recovery.

Postoperative care

The doctor recommends, using narcotic pain killers to ease the surgical pain. Women undergoing the laparoscopic hysterectomy surgery must refrain from physical activities and strenuous exercises. The patient must not strain the body until the doctor ensures that the patient is fit to proceed with the regular day-to-day activities.

Like any other surgery, hysterectomy can lead to possible complications such as:

  • Internalinfection
  • Ovaryfailure
  • Vaginalproblems
  • Damagetothebowelorbladder
  • Internalbleeding
  • Thrombosis