What Is Total Laparoscopic Hysterectomy(tlh)?
Hysterectomy or removal of the uterus is the most common gynecological surgery done world wide. When the uterus is completely removed from the laparoscopic approach it is termed as total laparoscopic hysterectomy.
What are the different routes of hysterectomy?
- Abdominal hysterectomy
- Vaginal hysterectomy
- Laparoscopic hysterectomy
- Laparoscopy assisted vaginal hysterectomy
Why laparoscopic hysterectomy??
- Lesser blood loss
- Shorter hospital stay
- Quick return to normal activities
- Better cosmesis
- Fewer chances of infection
- When vaginal hysterectomy is not possible in cases of large myoma or severe endometriosis/adenomyosis
- Completely under vision procedure
Indications of Laparoscopic hysterectomies?
- Multiple fibroids of uterus with symptoms
- Abnormal uterine bleeding not responding to medical management.
- Adenomyosis
- Post menopausal bleeding
- Menorrhagia
- Severe endometriosis
- Uterine or cervical cancer
- Very large sized uterus
Faqs Related With Tlh
1In case of prev. Cesarean delivery is laparoscopy possible?
yes. Laparoscopic hysterectomy can be done even with prev. 3 cesarean sections. With expert surgeons chances of injury to bladder or intestine can be avoided.
2What other organs can be removed at the time of hysterectomy ?
Fallopian tubes and occasionally ovaries if the ovaries are diseased can be removed.
In case of malignancy Pelvic/ Para Aortic Lymphnodes, omentum can be removed.
3After TLH will sexual life stay normal?
yes. After TLH vaginal length stay almost as the same as i was earlier hence sexual life can be enjoyed well. While in abdominal or vaginal hysterectomy the vaginal length is reduced.
4How early can a patient return to normal life?
Post TLH patients are discharged on the very next day. They can resume daily activity from 3rd day onwards. Only heavy weight lifting and intercourse needs to be avoided for 1 month after the surgery. TLH gives early covery and quick regaining of day to day chores.
5What should a patient expect before the surgery?
Before surgery the patient is asked to get detailed Preoperative blood investigations, Chest Xray, ECG and Physician Fitness certificate. On the day prior to TLH light diet is advised and Tab. dulcolax is advised to be taken at night.
6Which anesthesia is given for the surgery?
TLH is done under complete General Anesthesia.
7What complications can occur during TLH?
With expert surgical techniques and advanced instruments chances of complications are very less.One needs to be prepared for Ureteric ligation, Urinary bladder tear, intestinal injury only in cases of severe endometriosis with adhesions.
Why TLH at AARYA WOMEN’S HOSPITAL?
- Expert well trained and experienced Surgeons
- KARL STORZ Laparoscopy System
- All instruments ETO sterilized
- Under vision Port insertion
- ANesthesia WOrkstation of SKANRAY for etter and smooth journey through General Anesthesia
- EtCO2 measurement is possible to avoid excess Co2 in body