Dr. Rajani Vaidya, a leading Gynaecologist and Laparoscopic Surgeon, offers expertise in performing laparoscopic hysterectomy, a minimally invasive surgical procedure designed to treat various gynaecological conditions safely and effectively.

What is a Laparoscopic Hysterectomy?

A laparoscopic hysterectomy is a surgical procedure to remove the uterus using small keyhole incisions and a laparoscope—a thin, flexible tube with a camera and light. Unlike traditional open surgery, this technique allows surgeons to view the internal organs on a screen, enabling precise removal of the uterus while reducing trauma to surrounding tissues.

This procedure is commonly recommended for women with:

• Fibroids causing pain or heavy bleeding
• Uterine prolapse
• Endometriosis
• Chronic pelvic pain
• Early-stage gynaecological cancers

Types of Laparoscopic Hysterectomy

Total Laparoscopic Hysterectomy (TLH)

In TLH, the entire uterus, including the cervix, is removed. This approach is suitable for patients with fibroids, abnormal uterine bleeding, or pre-cancerous conditions.

Subtotal or Supracervical Hysterectomy

Here, only the upper portion of the uterus is removed while the cervix is preserved. This can help maintain pelvic support and sexual function.

Laparoscopically Assisted Vaginal Hysterectomy (LAVH)

This combines laparoscopic surgery with vaginal removal of the uterus. LAVH is ideal for women with moderate uterine enlargement or a history of pelvic surgery.

Advantages of Laparoscopic Hysterectomy

• Minimally Invasive: Requires only small incisions, leading to less post-operative pain.
• Faster Recovery: Patients usually return to normal activities within 2–3 weeks.
• Reduced Risk of Infection: Smaller incisions lower the risk of complications.
• Minimal Scarring: Keyhole incisions result in better cosmetic outcomes.
• Shorter Hospital Stay: Most procedures are completed in 1–2 days, sometimes as day-care surgery.
• Precision Surgery: Magnified view allows careful tissue handling and reduced blood loss.

Who is an Ideal Candidate?

A laparoscopic hysterectomy is recommended for women experiencing:

• Heavy or prolonged menstrual bleeding
• Painful periods or chronic pelvic pain
• Fibroids or uterine growths
• Endometriosis or adenomyosis
• Uterine prolapse affecting quality of life
• Early-stage gynaecological cancers

A thorough pre-operative evaluation, including imaging, blood tests, and physical examination, ensures safety and suitability for surgery.

Pre-Operative Preparation

Proper preparation enhances safety and outcomes:

• Medical Evaluation: Blood tests, imaging, and pelvic examination.
• Medication Review: Adjustments may be required for medicines like blood thinners.
• Fasting Instructions: Usually 6–8 hours prior to surgery.
• Consent and Counseling: Patients should understand the procedure, potential risks, and expected recovery.

The Surgical Procedure

• Anaesthesia: General anesthesia is administered.
• Incisions: Small keyhole incisions (0.5–1 cm) are made in the abdomen.
• Laparoscope Insertion: Camera and instruments are inserted through these incisions.
• Uterus Removal: The uterus is carefully detached. It may be removed vaginally or morcellated for safe extraction.
• Closure: Incisions are closed with dissolvable sutures or surgical glue.

The procedure typically lasts 1–2 hours, depending on complexity and patient anatomy.

Post-Operative Care and Recovery

• Mild pain or discomfort may persist for a few days.
• Walking and light activity are encouraged to prevent complications such as blood clots.
• Heavy lifting and strenuous exercise should be avoided for 4–6 weeks.
• Follow-up evaluations monitor healing and recovery.

Risks and Considerations

Although generally safe, a laparoscopic hysterectomy carries some risks:

• Infection or bleeding
• Injury to surrounding organs (bladder, bowel, ureters)
• Blood clots
• Anaesthesia-related complications

Careful surgical planning and adherence to pre- and post-operative guidelines help minimize these risks.

Why Choose Laparoscopic Hysterectomy

Laparoscopic hysterectomy is a less invasive, precise, and effective solution for many gynaecological conditions. It allows quicker recovery, minimal scarring, and better surgical outcomes for suitable patients.

Schedule a Consultation

If you are considering a laparoscopic hysterectomy, consult Dr. Rajani Vaidya, gynaecologist and Laparoscopic Surgeon, to discuss the procedure, its benefits, and whether it is suitable for you. Early evaluation can help plan a safe and effective treatment for your health and well-being.