Laparoscopic hysterectomy is a surgical procedure by which the complete uterus of the woman is removed. This is the second most common surgical procedure performed (next to C-Section) in women.
When is a laparoscopic hysterectomy required?
If you are facing these following problems and are above 43 years of age
- Symptomatic or recurrent fibroids(Larger than 8 CMS) . Hysterectomy is a permanent solution.
- Dysfunctional uterine bleeding When medical management fails.
Pelvic organ prolapse
- When uterus loses its pelvic supports and descends through the birth canal even after conservative management.
- Atypical cellular structure:
When the endometrial biopsy shows atypical cellular structure.
When colposcopic biopsy has established CIN1 (Cervical Intraepithelial Neoplasis).
What are the surgical approaches to hysterectomy?
- Abdominal hysterectomy
Historically, all hysterectomies were done by a large incision on the abdomen, either by Pfannenstiel (horizontal) incision or Tramline (vertical) incision.
- Vaginal Hysterectomy
This procedure is done entirely through the vaginal route and does not require any abdominal incisions.
- Total Laparoscopic Hysterectomy
This is the recommended approach as it the least traumatic of all the surgical procedures. TLH (in short) requires advanced equipment and good surgical skills.
In cases of very large uterus or multiple fibroids, our surgeons have mastered revolutionary new techniques (uterine artery ligation, uterine artery clamping, feeder vessel ligation) to reduce the blood loss during the procedure.
This procedure requires 4 tiny incisions on your abdomen. Using specialized energy sources, the uterus is disconnected from the surrounding structures. The uterus is then removed via the vagina and the vault is sutured back.
Will I be able to have sexual intercourse after the procedure?
Of course, yes. The procedure will only remove the uterus. The length of the vagina is retained to what it was prior to surgery.
Will I bloat up after hysterectomy?
During the procedure we fill the abdomen with non-inflammable medical grade CO2. This gas gets completely deflated after the procedure and CO2 is 200 times more soluble than O2 in blood.
Do I need to keep having yearly pap smears?
No more pap smears for you. In majority of the cases the cervix will be completely removed, thus alleviating the need for further pap smears.
Are multiple small scars better than one large scar?
Mostly Yes but Sometimes No. Kindly discuss this with the specialist treating you. Cosmetically, multiple small scars heal and become rarely visible after a month.
What if I do not want to undergo surgery?
In very special circumstances you can undergo TCRE