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Hysterectomy Clinic

Also known as keyhole surgery, laparoscopic hysterectomy is a minimally invasive surgical procedure used by surgeons to remove the uterus. An individual who undergoes this procedure will lose the ability to become pregnant and will no longer experience her monthly menstruation.

During a hysterectomy, some women’s ovaries are not removed. Therefore, if the ovaries remain inside, the woman does not experience hot flashes, or the need for hormonal therapy after the procedure.

Ovarian cancer in the family or abnormal development of the ovary are the two reasons why some women choose to have their ovaries removed.


Laparoscopic Hysterectomy Patient Story


Types of Laparoscopic Hysterectomy

There are two types of laparoscopic hysterectomy. These are:

    • Laparoscopic supra-cervical hysterectomy: This procedure involves the removal of the uterus but keeps the cervix in place.
    • Total laparoscopic hysterectomy: Involves removal of the entire uterus and cervix.

Ideal Candidate for Laparoscopic Hysterectomy

In most cases, a hysterectomy is a suitable intervention for the majority of patients with abnormal uterine bleeding or fibroids. In some situations, it might not be feasible, for instance, if the uterus is larger than it would be during a four-month pregnancy or if she has had many procedures on her lower abdomen in the past. For females with gynecologic cancer, it is typically not done.

Preparation for Laparoscopic Hysterectomy Procedure

Prior to the procedure, the patient may be advised to see her primary care doctor to ascertain there are no medical conditions that may cause complications with the surgery.

Prior to the day of surgery, there will be a pre-operative appointment that will involve history and physical examination, and blood tests.

The patient is also advised to go nil-by-mouth for at least 6 hours before the actual procedure.

The Procedure

The procedure, which is done in a hospital operating room, is performed under general anesthesia so as to make the patient unconscious throughout the surgery and a few hours afterwards.

During the process, the surgeon will make a tiny cut (incision) in the patient’s stomach which will be used to insert a small tube holding a telescope (laparoscope) and a tiny video camera.

This will allow the surgeon to see the patient’s internal organs. The surgical instruments are then inserted through other small incisions in the patient’s abdomen or vagina to remove the womb, cervix, and any other part of the reproductive system.

 

What to expect after a laparoscopic hysterectomy

After the surgical procedure, the patient may wake up feeling tired and experience some degree of discomfort. However, this is common after this type of surgery, and medication may be prescribed to provide some relief.

Benefits of Laparoscopic Hysterectomy

Some of the benefits associated with laparoscopic hysterectomy compared to open hysterectomy include:

    • Few and small incisions are involved
    • Minimal blood loss
    • Less post-operative pain or discomfort
    • It is done as an outpatient procedure contrary to an abdominal hysterectomy that normally requires a 2-3 days hospital stay
    • Lower infection rates
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