Total laparoscopic hysterectomy

What is a total laparoscopic hysterectomy?

Total laparoscopic hysterectomy is a keyhole hysterectomy done through tiny cuts in the tummy, using tiny, modern cutting instruments to diminish the damage to the skin and the pelvic tissues. The removal of the womb (uterus) is basically the same but in expert hands, keyhole surgery has several advantages when compared with tummy cut hysterectomy (abdominal hysterectomy).

What are the benefits of a total laparoscopic hysterectomy?

Because of the smaller trauma to the skin and the tissues in the pelvis, recovery is much quicker than after a tummy cut (laparotomy). The average hospital stay is 1-2 days only and the majority of patients resume their normal activity very quickly. That can be an important factor for those looking after their children, needinged to go back to work and those who would like to enjoy their full, active life as soon as possible.

The benefits of keyhole surgery are:

  • Shorter hospital day (1-2 days)
  • Faster recovery back to normal (2-3 weeks sick leave only)
  • Less blood loss during the operation (From research evidence) 
  • Less wound infection and breakdown
  • Minimal scarring.

Is this procedure safe?

Keyhole hysterectomy has been thoroughly researched and has been found to be a safe and effective procedure with benefits to patients when compared with tummy cut hysterectomy (laparotomy). Expert laparoscopic surgeons are able to ensure patients have all the benefits.

Who can undergo a total laparoscopic hysterectomy?

Apart from very large womb size, there is no contraindication for keyhole hysterectomy, so anybody who needs a hysterectomy can have it done with keyhole surgery.

Common indications for hysterectomy are:

  • Heavy periods (where other conservative methods failed)
  • Fibroids
  • Endometriosis
  • Chronic pelvic inflammation
  • Prolapse
  • Cancer of the uterus, cervix or ovary
  • Precancerous changes of cervix or uterus

What is the usual postoperative care after keyhole surgery?

  • Patients are able to drink and have light food a few hours after surgery
  • Patients do not usually require strong painkillers but paracetamol only as there is only some mild pain
  • The bladder catheter comes out a few hours after operation
  • Patients are able to walk soon after surgery
  • Patients usually discharged within 24hours
  • Patients usually resume their normal activity (working, driving, flying) within two weeks after surgery.

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