Total Laparoscopic Hysterectomy

Understanding Total Laparoscopic Hysterectomy

Total laparoscopic hysterectomy is a keyhole surgery procedure used to remove the entire uterus, including the cervix. This advanced technique allows for the removal of the uterus with smaller incisions compared to traditional open surgery.

Reasons for the Procedure

There are several reasons why your doctor might recommend a total laparoscopic hysterectomy:

• Uterine fibroids causing significant symptoms
• Endometriosis that hasn’t responded to other treatments
• Abnormal uterine bleeding that can’t be controlled by other methods
• Chronic pelvic pain related to uterine conditions
• Uterine prolapse (when the uterus drops into the vagina)
• Certain types of gynaecological cancers

The Total Laparoscopic Hysterectomy Procedure

Here’s what you can expect during a total laparoscopic hysterectomy:

1. You’ll be given general anaesthesia to ensure you’re comfortable throughout the procedure.
2. The surgeon makes small incisions (usually 0.5-1 cm) in your abdomen.
3. A laparoscope (a thin tube with a camera) and specialised surgical instruments are inserted through these incisions.
4. Your abdomen is inflated with carbon dioxide gas to create space for the surgeon to work.
5. The surgeon carefully separates the uterus from surrounding tissues and blood vessels.
6. The uterus is then removed through the vagina or, if necessary, through one of the small abdominal incisions.
7. The top of the vagina is then closed internally.
8. Finally, the small abdominal incisions are closed with stitches.

Benefits of the Procedure

Compared to traditional open surgery, total laparoscopic hysterectomy offers several advantages:

• Smaller scars
• Less postoperative pain
• Shorter hospital stay (often just 1-2 days)
• Quicker recovery time
• Lower risk of infection
• Less blood loss during surgery
• Faster return to normal activities

Suitable Candidates

This procedure may be suitable for you if:

• You have a condition requiring removal of your uterus
• You’ve completed your family or don’t wish to have children
• Your overall health allows for laparoscopic surgery

Your doctor will assess your individual case to determine if this is the best option for you.

Recovery Process

Recovery from total laparoscopic hysterectomy is typically quicker than open surgery:

• Most women go home within 2-3 days after surgery
• You can usually return to normal activities within 2-4 weeks
• Full recovery typically takes about 4-6 weeks

You may experience some vaginal bleeding and discharge for a few weeks after the procedure, which is normal.

Important Considerations

• A hysterectomy is a major decision as it permanently ends your ability to become pregnant.
• If your ovaries are removed along with your uterus, you’ll experience surgical menopause. Your doctor will discuss hormone replacement therapy options with you if needed.
• Even if your ovaries are retained, you may enter menopause sooner than you would have naturally.
• Sexual function usually improves or stays the same after hysterectomy, but it’s important to wait until you’re fully healed before resuming sexual activity.