Laparoscopic Hysterectomy – Why Is It Required?

Laparoscopic Hysterectomy – Why Is It Required?


By Dr. Jayashree Todkar, Laparoscopic Surgeon

A laparoscopic hysterectomy is a procedure used to remove the uterus. Minimally invasive, this surgery involves a small incision that is made at the navel. The removal of the uterus may or may not include the cervix.

Why is the surgery done?
A woman might opt for a hysterectomy for various reasons. They are as follows-

  1. Bleeding and severe pain caused by uterine fibroids.
  2. Uterine, cervical or ovarian cancer might make the surgical removal of the uterus prudent.
  3. Chronic and abnormal pelvic pain.

A hysterectomy for reasons that aren’t cancerous is only advised by physicians if the more conventional treatment options have been unable to yield satisfactory results.

Types of Hysterectomy
A physician would depending upon the reasons that necessitate a hysterectomy decide to remove either parts or the whole of the uterus. In a subtotal hysterectomy, only the upper portions of the uterus are removed leaving the cervix in place. While a total hysterectomy involves the removal of the whole uterus along with the cervix.

Different Techniques
A hysterectomy can be performed using different surgical techniques. Factors such as the patient’s age and medical history will determine the procedure. A laproscopic hysterectomy is advised over an open surgery because it offers both faster recovery time and a higher rate of success.

Advantages of Laparoscopic Hysterectomy

  1. With incisions as small as 1 cm in length, the procedure is minimally invasive. It allows for the patients to recover faster and the pain post surgery is also manageably low.
  2. Patients need only stay for extensive medical care at the hospital for a day or two post surgery. They can easily be then discharged and they can resume their normal activities within 14-21 days.
  3. Women who have had prior surgical procedures such as a cesarean section or any other kind of pelvic surgery are better suited for a laparoscopic hysterectomy than an open surgery.
  4. A laparoscopic surgery allows the surgeon to gain better access to the pelvic region and evaluate the presence of endometriosis and treat it. It can also help treat any scar tissue that might cause pelvic pain.
  5. With this procedure, any cyst that might exist on the ovaries can be discovered and removed.

A laparoscopic hysterectomy reduces the chances of infection and the risks of complications are also significantly reduced. With minimal scarring and a very short recovery period, a laparoscopic hysterectomy is the surgical procedure most commonly recommended by surgeons.