Total Laparoscopic Hysterectomy (TLH)
We recommend reading this carefully to prepare yourself or your family members for the proposed procedure. Correctly understanding the process, its preparation, and post-procedure expectations and care can improve your safety and outcome. We strongly encourage you to contact your Care Center before your procedure if you have any questions or concerns.
Definition Laparoscopic: an examination of, or surgery on, abdominal structures through an illuminated (lighted) tubular instrument passed through a small incision in the wall of the abdomen; “telescopic” surgery
Hyster: of or denoting the womb (uterus)
Ectomy: denoting surgical removal of a segment or all of an organ Hysterectomy, the surgical removal of the uterus and cervix, is the most common non-pregnancy-related major surgery performed on women in India. Approximately a large number of women undergo this procedure every year. The process is elective (non-emergent) 90% of the time.
The most common reasons for hysterectomy are:
- Fibroid tumors – non-cancerous tumors that can cause pelvic pain and pressure, heavy uterine bleeding, painful intercourse, abdominal distortion, and other symptoms
- Endometriosis – a condition in which tissue generally found within the uterine lining grows in other parts of the abdomen or uterine muscle (adenomyosis), where it can cause pain
- Uterine prolapse – the sinking or downward movement of the uterus from its normal position in the vagina
Hysterectomy can be accomplished through three different approaches:
- Vaginal hysterectomy – operating entirely through the vagina to remove the uterus and cervix. Removal of the tubes and ovaries can also be performed vaginally.
- Laparotomy or abdominal hysterectomy – traditional “open” abdominal surgery that allows the surgeon to see and reach the pelvis. This is often used when a larger uterus is present, or other procedures are planned.
- Total laparoscopic hysterectomy (TLH) – Operating in the abdomen via small incisions and camera insertion into the abdomen. Much of the procedure is performed with surgical instruments in these small incisions. The remainder of the surgery is performed via the vagina, and the uterus is often removed through the vagina.
Before a hysterectomy, it is essential to consider alternative treatments. Many treatments for fibroids, endometriosis, or prolapse can help relieve your symptoms while allowing you to keep your uterus. Only when faced with severe symptoms does a hysterectomy become necessary.
The approach to hysterectomy will depend on your symptoms, the size of your uterus, any previous surgeries you might have had, treatment goals and the preference of you and your doctor.
Discuss all the pros and cons with Dr. Aneeta Talwar, the Best Gynaecologist in Bangalore.
