Total Laparoscopic Hysterectomy

What Is Total Laparoscopic Hysterectomy ?

The uterus (womb) and cervix are removed during a total laparoscopic hysterectomy (TLH) using a small surgical telescope called a laparoscope. The doctor can inspect the pelvis and abdomen by inserting a laparoscope through a tiny incision into the abdominal wall. It is possible to remove the uterus and cervix without a significant abdominal incision. The removal of the ovaries is not obligatory for hysterectomy, but if it is deemed medically necessary, the ovaries and tubes can be removed at the same time.

Why Is A Hysterectomy Performed?

Hysterectomies are performed by medical professionals to treat:
  • Abnormal or significant vaginal bleeding that is not controlled or managed other methods.
  • Severe menstrual discomfort that is not relieved by conventional treatments
  • Fibroids in the uterus or leiomyomas (noncancerous tumors).
  • Uterine-related pelvic pain that has increased but is not relieved by previous treatments.
  • Uterine prolapse, which can cause urine incontinence or bowel obstruction because the uterus “fell” into the vaginal canal due to weaker support muscles.
  • Hyperplasia, recurrent uterine polyps, or adenomyosis are uterine lining conditions.

What Happens During A Hysterectomy?

Through a tiny belly button incision, a laparoscope (a thin tube with a video camera on the end) is inserted into the lower abdomen.

Several further tiny incisions are used to implant surgical instruments.

Through the incisions in your belly or through your vagina, your uterus can be taken out in little parts.

Some patients leave the hospital the same day or the following morning.

Compared to an abdominal hysterectomy, the full recovery is quicker and less painful.


As with any surgery, there is a minuscule possibility of complications. Among the issues could be:
  • Clots of blood.
  • Serious infection.
  • Bleeding.
  • Bowel obstruction.
  • Internally torn stitches.
  • Harm to the urinary tract.
  • Anesthesia-related issues.

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