Is a laparoscopic hysterectomy a major surgery?
Hysterectomy is a major surgical procedure in which the uterus and possibly the ovaries, fallopian tubes, and cervix are removed. The surgery can be done in several ways, one of which is laparoscopically.
What is a total laparoscopic hysterectomy?
Definition: Total Laparoscopic Hysterectomy (TLH) is an operation to remove the uterus (womb) and cervix with the aid of a small operating telescope, called a laparoscope. The laparoscope is inserted into the abdominal wall through a small incision and allows the doctor to examine the pelvis/abdomen.
Why is a hysterectomy performed?
Healthcare providers perform hysterectomies to treat:
Abnormal or heavy vaginal bleeding that isn't managed by other treatment methods.
Severe pain with menses that isn't managed by other treatment methods
Leiomyomas or uterine fibroids (noncancerous tumors).
Increased pelvic pain related to your uterus but not managed by other treatments.
Uterine prolapse (uterus that has "dropped" into your vaginal canal due to weakened support muscles) that can lead to urinary incontinence or difficulty with bowel movements.
Cervical or uterine cancer or abnormalities that may lead to cancer for cancer prevention.
Conditions with the lining of your uterus, like hyperplasia, recurrent uterine polyps or adenomyosis.
Laparoscopic hysterectomy :
A laparoscope (a thin tube with a video camera on the end) is inserted in your lower abdomen through a small incision in your belly button.
Surgical tools are inserted through several other small incisions.
Your uterus can be removed in small pieces through the incisions in your abdomen or through your vagina.
Some people go home the same day or after one night in the hospital.
Full recovery is shorter and less painful than an abdominal hysterectomy.
Robotic-assisted laparoscopic hysterectomy :
Your surgeon performs the procedure with the help of a robotic machine.
A laparoscope is inserted in your abdomen so your pelvic area can be viewed.
Small, thin surgical tools are inserted through three to five incisions around your belly button. Robotic arms and instruments are controlled by the surgeon.
The recovery is similar to a laparoscopic hysterectomy.
Abdominal hysterectomy :
Your uterus is removed through a six- to eight-inch-long incision in your abdomen.
The incision is made either from your belly button to your pubic bone or across the top of your public hairline. The surgeon will use stitches or staples to close the incision.
Most commonly used when cancer is involved, when the uterus is enlarged or when disease spreads to other pelvic areas.
It generally requires a longer hospital stay (two or three days) and a longer recovery time.
What happens to your body after a total hysterectomy?
Because your uterus is removed, you no longer have periods and cannot get pregnant. But your ovaries might still make hormones, so you might not have other signs of menopause. You may have hot flashes, a symptom of menopause, because the surgery may have blocked blood flow to the ovaries.
A challenging job to cure critical patients.