Total Laparoscopic hysterectomy
A hysterectomy means removal of the uterus. The fallopian tubes and ovaries can be removed at the same time. A hysterectomy is a commonly performed procedure.
Helping you to understand
At Gynae Solution, we will use plain language to explain what you have, what the treatment options are and what your prognosis is in terms you can understand.
What is a hysterectomy?
A hysterectomy means removal of the uterus. The fallopian tubes and ovaries can be removed at the same time when necessary. A hysterectomy is the most commonly performed gynaecological major operation.
Types of hysterectomies: You have had all the relevant tests, weighed up your options and decided that having a hysterectomy is the best solution for you. Now you must come to an agreement with your doctor as to how the operation is to be performed. The uterus can be removed in one of four ways:
1. A big cut on the abdomen (bikini-line or vertical)
2. Vaginally
3. A combination of laparoscopic and vaginal operating
4. Totally laparoscopic (key hole surgery)
Option 1 is the most commonly used approach to remove the uterus. While it is a safe technique overall, its disadvantages include longer hospital stay (usually 3 to 5 days), longer recovery and longer time to return to work (usually 6 -12 weeks), need for more pain medication and a relatively high rate of wound complications (especially in overweight/obese and cancer patients).
A vaginal hysterectomy or a combination of a laparoscopic operation with a vaginal hysterectomy (options 2 and 3) mean the hospital stay and recovery time are shorter and less pain medication is required than with the first option. This technique is often not feasible for patients who are very overweight or who have not had vaginal childbirths.
Option 4 - a Total Laparoscopic Hysterectomy (TLH) - this means the whole operation is performed by keyhole. After a Total Laparoscopic Hysterectomy, if there are no complications, patients usually stay in hospital for 24-48 hours and they are back to work after 2-6 weeks. Obviously, this would depend on the type of job.
The overall complication rate is one third when compared to the first option, and the need for painkillers is reduced by 90% when compared to a major cut on the abdomen and 50% when compared to a vaginal hysterectomy. This technique is often not feasible for patients with a large uterus. In about 5% of patients where a Total Laparoscopic Hysterectomy is planned, the operation has to be converted to a laparotomy (a major cut on the abdomen). The reasons for this could be intraoperative complications (which are rare) or extremely difficult surgery where the continuation of a laparoscopic technique would increase the risk of complications.
Total laparoscopic hysterectomy is a safe and effective procedure for women needing a hysterectomy.
Listening to you
It's important to find a consultant who will listen to your concerns to help explain and answer any questions you might have.
Why choose Gynae Solution?
At Gynae Solution, we understand that the reason for undergoing a total hysterectomy, or any kind of hysterectomy, often causes immense emotional challenges as well as physical, and that the prospect of having a hysterectomy can be unnerving.
Mr Jafaru Abu is here to support you emotionally and physically throughout your journey to better health, ensuring you experience outstanding care before, during and after surgery. You will be treated by him and his multidisciplinary team of healthcare professionals who are all committed to delivering excellent, tailored-to-you care that puts your needs first.
Where can I find more information on the Total Laparoscopic Hysterectomy procedure?
You can find out more about the Total Laparoscopic Hysterectomy procedure by downloading our patient leaflet here. You will find helpful information such as 'How to Prepare' for your procedure, 'What to Expect' during the procedure and 'Aftercare" after the procedure.