Laparoscopic hysterectomy is a minimally invasive surgical procedure to remove the uterus and cervix with or without the ovaries. A small incision is made in the navel through which a tiny camera is inserted. The surgeon watches the image from this camera on a TV monitor while performing the procedure. Two to three other tiny incisions are made in the lower abdomen. Through these, specialized instruments are inserted and used for the removal process.
The procedure is performed under a general anaesthetesia by athe gynaecologist. A drip is inserted into your arm. A catheter (a tube for urine drainage) is inserted after you have been anaesthetised. A small incision is made either in or just below your umbilicus. The abdomen is inflated with gas and an optical instrument, called a laparoscope (similar to a telescope) is inserted to visualise the internal organs. Further small incisions may be made on your abdomen. The uterus and cervix are removed with or without both ovaries vaginally. The wounds are closed in layers. The procedure itself takes approximately one to two hours.
Partial Hysterectomy : A partial hysterectomy is a type of surgery designed to remove a woman's uterus, leaving her cervix intact.
Total Hysterectomy : A total hysterectomy removes the uterus and cervix. At the time of a total hysterectomy, your surgeon may also remove the ovaries and fallopian tubes. An abdominal hysterectomy is a surgical procedure that removes your uterus through an incision in your lower abdomen.
Typically, the procedure is indicated as a treatment for serious uterine and reproductive system conditions when pharmaceutical and other non-surgical treatment options have failed. These include:
- Reproductive system cancers, including uterine, cervical, ovarian, and endometrium, or tumors.
- Severe and intractable endometriosis and adenomyosis.
- Chronic pelvic pain.
- Uterine fibroids.
- Vaginal prolapse.
All of these conditions and diseases are candidates for LH as an alternative to traditional hysterectomy. For a small percentage of patients, however, LH is contraindicated. This is typically the case for patients who are obese, have a history of prior abdominal surgery that may have resulted in the formation of dense scar tissue, or have other, underlying medical conditions.