The uterus, which is also referred to as the womb, is the place where a baby grows inside their mother. The gynecological procedure in which the uterus of a woman is removed is the Hysterectomy. Laparoscopic Hysterectomy is usually performed for a broad variety of reasons.
The removal of the uterus where the cervix is kept intact is a Laparoscopic Hysterectomy (LH). The lower narrow end of the womb is the cervix. It is a minimally invasive procedure.
If a woman has had a hysterectomy, her menstruation will stop, and she cannot become pregnant.
Check out the video of laparoscopic hysterectomy surgery in Chennai (performed at Hande hospital).
Indications of Laparoscopic Hysterectomy:
Your doctor may suggest you to undergo a laparoscopic hysterectomy if you face the following conditions that include:
- Uterine fibroids.
- Chronic pelvic pain.
- Endometriosis which is not cured either by medicine or surgery.
- Uterine prolapse by which the uterus descends into the vagina.
- Cancer in the ovaries, cervix or uterus.
- Vaginal bleeding which still continues even after treating it.
Risks and Complications of Laparoscopic Hysterectomy:
Most women recover in a short span of time without any complications from the surgery. But some risks and complications associated with a laparoscopic hysterectomy include the following:
- Problems of anaesthesia
- Internal organ injury
- Bleeding or infection
- Shortness of breath
- Mild fever
- Heavy bleeding or offensive vaginal discharge
- Nausea or vomiting
- Blood clots
- Chronic pain
- Unbearable pain
- Inability to empty your bowels or bladder
- Injury in the ureter or bladder
- Painful intercourse
- Early menopause if ovaries are removed
- Urinary incontinence
Diagnosis of Laparoscopic Hysterectomy
Your physician will recommend you to undergo the following tests before you have a hysterectomy:
Pelvic ultrasound: This is an advanced imaging test where high-frequency sound waves are used to create pictures of the female pelvic organs.
Pap smear: This test involves the collection and sampling of cervical cells where cervical cancer gets detected.
Endometrial biopsy: This procedure involves the sampling of the cells that are lining the uterus (endometrium) to check for any abnormalities.
Surgical procedure of Laparoscopic Hysterectomy:
Under general anesthesia with the patient the procedure is usually performed.
Your doctor will make a few small incisions around the belly button or on the abdomen. A laparoscope is a thin instrument that has a light and camera at the tip. It is inserted through one of these incisions. The images are captured by the camera and are displayed on a monitor to view the internal pelvic organs for the surgeon.
Certain small surgical instruments are inserted through the other abdominal incisions. These soft tissues are retracted to gain access to the uterus. After which, the surgeon detaches the tissues, ligaments, and blood vessels surrounding the uterus. Then the uterus is removed in pieces through the tiny incisions by leaving the cervix intact.
Depending on the patient and surgeon’s preference, the ovaries and fallopian tubes may or may not be removed. At the end of the procedure, the opened incisions are closed and a sterile dressing is done over the incisional areas.
Post-operative care of Laparoscopic Hysterectomy:
The post-surgical guidelines include:
- Follow the medications as prescribed by your physician.
- Take adequate rest and avoid lifting heavy weights after the surgery.
- You can restore to normal activities after the pain, bleeding, and abdominal pressure has resolved.
- You can engage in sexual activity after six weeks following surgery.
- Exercises should be avoided until you recover completely.
Benefits of Laparoscopic Hysterectomy
- Smaller incisions
- Less postoperative pain.
- Less blood loss
- Less scarring
- Less hospital stays
- Lower infection rate.
- Minimal soft tissue trauma.
- Faster healing time.
- Less risk of infection or complications