A laparoscopic hysterectomy is a minimally invasive surgical procedure to remove the uterus. A small incision is made in the belly button and a tiny camera is inserted. Two or three other tiny incisions are made in the lower abdomen.
Some women do not have their ovaries removed when they undergo a hysterectomy. If the ovaries stay inside, the woman does not need to take any hormones after the surgery and she does not have hot flashes. Women can choose to either keep the cervix in place (called a “laparoscopic supra-cervical hysterectomy”) or remove the entire uterus and cervix (“ total laparoscopic hysterectomy”).
Keeping the cervix in place makes the operation a little faster and safer. When the cervix is in place there is a 5% chance that the woman will have monthly spotting at the time of her menstrual periods. Women whose cervices stay in place need to continue getting pap smears.
If the woman wants to be 100% certain that she will never menstruate again, she needs to have the entire uterus removed.
What are the advantages of a laparoscopic hysterectomy surgery?
A laparoscopic hysterectomy requires only a few small incisions, compared to a traditional abdominal hysterectomy which is done through a 3-6 inch incision.it can be total laproscpic or assisted vaginally , which depends on many factors and decision varies as per patient findings.
- less blood loss,
- less scarring and
- less post-operative pain.
- short stay and early recovery
The risks of blood loss and infection are lower with laparoscopic hysterectomy than with an abdominal hysterectomy. In experienced hands, laparoscopic hysterectomy takes about the same length of time as an abdominal hysterectomy and involves no greater risk.
Who should have laparoscopic hysterectomy surgery?
Most patients who are having a hysterectomy to treat abnormal uterine bleeding or fibroids can have a laparoscopic hysterectomy. It may not be possible in some cases. For example, if the uterus is bigger than a 4 month pregnancy, if she’s had multiple previous operations in her lower abdomen. It is usually not done for women with a gynecologic cancer.
What kind of recovery can be expected?
Patients should expect to take ibuprofen or narcotic pain pills for a few days post-operatively. We encourage patients NOT to stay in bed. They should move around the house and resume normal activities as soon as they feel up to it. Some women are well enough to return to work one week after surgery. Women can resume exercise and sex within a few weeks of the surgery.
Laparoscopic patients can expect to suffer less post-operative pain than traditional hysterectomy or cesarean section patients.