Laparoscopic Hysterectomy

Hysterectomy is a major surgical procedure in which the uterus and possibly the ovaries, fallopian tubes, and cervix are removed. 

The procedure involves detaching the uterus from the ovaries, fallopian tubes, upper vagina, blood vessels, and connective tissue that support the uterus and keeps it in place.

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What is Laparoscopic Hysterectomy?

The surgical procedure to remove the uterus is known as a Hysterectomy.

The procedure involves detaching the uterus from the ovaries, fallopian tubes, upper vagina, blood vessels, and connective tissue that support the uterus and keeps it in place.

Depending on the size and shape of the patients' uterus the doctor might recommend laparoscopic, vaginal, or abdominal surgery.

Hysterectomy might also accompany removing other reproductive organs that are situated in the pelvic region. This is termed as total hysterectomy with salpingo-oophorectomy( removal of ovaries).

Why is a Laparoscopic Hysterectomy performed?

Hysterectomy is performed in case of gynecological problems including-

  • Fibroids

  • Uterine prolapse

  • Gynecological cancer

  • Endometriosis

  • Adenomyosis

  • Abnormal uterine bleeding

  • Chronic pelvic pain

How is Laparoscopic Hysterectomy performed?

This is a camera-guided process that is done through the abdominal approach.

A couple of incisions are made in the abdomen through which a slender tube with a lighted camera called a laparoscope is inserted. 

The doctor performs a hysterectomy by watching the screen that is supported by the laparoscopic camera inside the patient's abdomen.

Laparoscopic Assisted Vaginal Hysterectomy (LAVH)

Laparoscopic surgery is often accompanied by vaginal hysterectomy. An incision is made in the vaginal region from where the uterus is removed.

Additionally, a couple of incisions in the abdomen are done to guide the slender camera called laparoscope in addition to other surgical instruments.

Laparoscopic procedure inflates the patient's abdomen with carbon dioxide so the pelvic organs can be seen distinctly through the surgical process.

The uterus is dislodged and removed through the vagina. In some cases, morcellation is practiced where the uterus is broken to pieces and then extracted through the vagina.

Robot-assisted laparoscopic hysterectomy

This surgery is almost the same as laparoscopic hysterectomy, unlike in this, the doctor performs the surgery remotely with a sophisticated robotic system.

The procedure is aided by three-dimensional screen viewing to carry out the procedure.

LAVH or robotic hysterectomy are recommended to patients if they have scar tissue on their pelvic organs due to prior surgeries or from endometriosis.

What is the post-surgery care to be taken?

Post-surgery the patient is shifted to the recovery room and monitored for vital life signs.

Once stabilized the patient is moved to the hospital room. This procedure might require staying overnight in the hospital, while in some cases the patient might even be discharged post-surgery.

Post-surgery it is normal to have a bloody discharge for a couple of days to several weeks.

What are the Risks of Laparoscopic Hysterectomy?

The general risks associated with any surgery as well as Hysterectomy are-

  • Heavy bleeding

  • Infection

  • Adverse reaction to the anesthetic.

  • Blood clots in the legs or lungs.

  • Damage to surrounding organs.

  • During the procedure.

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