Total Laparoscopic Hysterectomy (TLH)

Overview -

The uterus (womb) and cervix are removed using a small surgical telescope called a laparoscope during a total laparoscopic hysterectomy (TLH). The laparoscope is placed through a tiny incision into the abdominal wall and allows the clinician to inspect the pelvis and abdomen. Without a big abdominal incision, the uterus and cervix are removed. The ovaries and tubes are not need to be removed during a hysterectomy; but, if medically necessary, they can be removed at the same time.

Why it's done -

The uterus (womb) and cervix are removed using a tiny surgical telescope called a laparoscope during a complete laparoscopic hysterectomy (TLH). The laparoscope is inserted through a small incision into the abdominal wall, allowing the clinician to examine the pelvis and abdomen. Without a big abdominal incision, the uterus and cervix are removed. The ovaries and tubes do not have to be removed during a hysterectomy, although they might be if medically required.

For more information related to TLH Surgery, Please visit Medipulse hospital or Gynecology & Obstetrics & Urogynecology departments of Our hospital to get an expert opinion on your problem

Surgery Procedure –

Depending on the size of your uterus, the doctor will make a tiny incision at your belly button to pass the laparoscope through, then 2-4 more incisions in your lower abdomen to implant critical surgical equipment after you've been sedated with general anaesthesia. To expand, carbon dioxide gas will be needed. the abdomen in order for the doctor to insert the laparoscope and visualise the abdomen/pelvis. The laparoscope will be used to separate the uterus from the ligaments and blood arteries that surround it. At the top of the head, an incision will be created. vagina to release the uterus and cervix; the incision will then be closed with dissolvable sutures, and necessary blood vessels will be cauterised to avoid bleeding. After that, the uterus is removed via the vaginal canal. A Morcellator will be used to divide the uterus into small pieces, which will subsequently be removed from the body through one of the incisions. The procedure is completed by suturing the top of the vagina, the appropriate layers of the abdomen, and the skin, as well as putting dressings to the incision sites.

Risk and complications -

Unexpected complications can occur during every surgical procedure, regardless of its complexity or duration. They can appear right away or take a long time to appear. While we covered these and perhaps more concerns at your consultation, we'd like you to have a list of particular complications so you may ask questions if you're still concerned. A list of probable risks, aside from anaesthetic difficulties, would include, but is not limited to:

• Organ Injury

• Infection

• Vascular Injury

• Blood Loss/Transfusion

• Cancer Spread

• Painful Intercourse and Vaginal Shortening

• Hematoma

• Chronic Pain

• Numbness

• Cuff Dehiscence

• Permanent Injury/Death

Insurance Covered – Following insurances are covered for TLH :

The average length of stay - entails 4 days in hospital & 4-6 weeks to fully recover.

Doctors who perform TLH Surgery procedure :