Total Laparoscopic Hysterectomy

Total laparoscopic hysterectomy is a minimally invasive surgical procedure in which the uterus is removed using small incisions through the abdomen. In this approach, the surgeon uses a laparoscope—a thin tube with a camera and light—to view the internal organs and perform the surgery with the help of specialized instruments. The uterus is detached and removed either through the vagina or in small pieces through the laparoscopic ports.

This procedure is commonly performed for conditions such as fibroids, abnormal uterine bleeding, endometriosis, adenomyosis, uterine prolapse, or early-stage uterine cancer. Unlike traditional open surgery, TLH offers several advantages including reduced blood loss, less postoperative pain, shorter hospital stay, and quicker return to normal activities. It also minimizes visible scarring due to the small size of incisions.

Before the procedure, patients undergo a thorough evaluation that includes pelvic examination, imaging studies, and blood tests to determine the suitability of the laparoscopic approach. During the surgery, both the uterus and cervix are removed, while the ovaries and fallopian tubes may be preserved or removed depending on the medical condition and patient’s age or risk factors.

Postoperative recovery is generally smooth, with most patients resuming light activities within a few days and full recovery expected within 4 to 6 weeks. As with any surgical procedure, there are potential risks such as infection, bleeding, injury to nearby organs, or anesthesia-related issues, though these are relatively uncommon with experienced surgical care.

Total laparoscopic hysterectomy is considered a safe and effective option for many women requiring uterine removal, offering both clinical benefits and improved quality of life.