Laparoscopic Hysterectomy treatment

Hysterectomy - Removal of Uterus

Hysterectomy is a surgical procedure for removal of the uterus or womb from a female body. It involves removal of the uterus with or without removal of fallopian tubes and ovaries. A lady will not have menstrual periods and cannot become pregnant after hysterectomy. There are no hormonal changes or menopausal changes, such as weight gain, mood swings etc. after a hysterectomy. These symptoms, which women often worry about, are only seen if the ovaries are removed. For patients below 60 years of age, we do not remove the ovaries unless they are diseased.

There are two approaches for performing hysterectomy:

  • a traditional or open surgery (abdominal hysterectomy)
  • laparoscopic surgery using a minimally invasive procedure

Indications for Hysterectomy

A woman may need to remove her uterus due to the following reasons:

  • Uterine fibroids
  • Uterine prolapse
  • Cancer of the uterus, cervix, ovaries or endometrium
  • Endometriosis
  • Abnormal menstrual bleeding
  • Chronic pelvic pain
  • Adenomyosis

Laparoscopic or Minimally Invasive Hysterectomy

indications for hysterectomy

Laparoscopic hysterectomy involves removal of the uterus through 4 small incisions instead of through a large cut in the abdominal cavity.

Procedure: The procedure is performed under general anaesthesia and with small incisions of around 5mm on the abdomen. Abdominal cavity is now filled with carbon dioxide gas and a thin, lighted telescope (also called laparoscope) is introduced into the abdomen through small incision. The laparoscope, which has a camera attached, allows the surgeon to view ovaries, fallopian tubes and uterus on the wide monitor attached with laparoscope. Other instruments are inserted through other incisions in the abdominal cavity. Now the real procedure starts as the surgeon first secures and divides the blood vessels of the uterus followed by freeing it (uterus) from the surrounding supports including the vagina to which it is attached. Other pathologies are also seen and fixed before removing the uterus from pelvis. After removal of uterus, the vagina is closed, carbon dioxide gas is released and finally skin incisions are closed.

laparoscopic hysterectomy bangalore

Advantages of laparoscopic Hysterectomy

  • A safe technique
  • Small incisions
  • Less scarring
  • Reduced length of surgery
  • Better visualization of pelvic anatomy and disease process for the surgeon
  • Gentler handling of the body tissues and organs during the operation
  • Minimum blood loss during the operation
  • Less postoperative pain
  • Less postoperative narcotic use for pain relief
  • Shorter hospitalisation
  • Quicker overall recovery
  • Earlier return to normal activity
  • Less postoperative complications like wound infection
  • Faster return to normal life and/or work
Authored by Dr.Deepak Rao

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Dr. Deepak Rao is a gynaecologist and laparoscopic surgeon. A pioneer of endoscopic surgery (laparascopy and hysteroscopy) in Bangalore

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