Overview: Laparoscopic Hysterectomy Surgery
Hysterectomy is the surgical removal of uterus i.e. womb with or without cervix. It may also be with or without the removal of ovaries and fallopian tubes.
Hysterectomy can be:
- Total Hysterectomy – in which uterus and cervix are removed
- Subtotal or Partial Hysterectomy – in which only uterus is removed but the cervix is left in place
- Radical Hysterectomy – in which uterus, cervix, ovaries and oviducts besides associated pelvic ligaments, lymph nodes and lymph channels are removed.Radical hysterectomy is performed when the woman has cancer of cervix, ovaries, fallopian tubes or uterus
- Hysterectomy and Bilateral Salpingo-Oophorectomy – in which fallopian tubes and ovaries are removed along with uterus. It is performed if the woman has cancer of ovaries or the uterus, or for chronic pain due to recurrent pelvic infection or recurrent endometriosis
- Hysterectomy with Prophylactic Bilateral Salpingectomy – is recommended for removing fallopian tubes at the time of hysterectomy as early ‘ovarian’ cancers originate in the tubes.
Most hysterectomy surgeries are now-a-days performed through minimally invasive procedures with the help a Laparoscope to remove the uterus. Surgeon makes a small incision in the belly button and inserts a tiny camera through it.
Surgeon watches the image from this camera on a monitor or TV screen and performs surgery by creating two or three more tiny incisions. Through these additional incisions, specialized instruments are inserted and used for the surgical removal of uterus and other parts as required.
Laparoscopic Hysterectomy Surgery has various potential benefits like:
- Less blood loss
- Significantly less pain
- Less scarring
- Decreased risk of infection
- Fewer complications
- Shorter hospital stay
- Faster return to normal daily activities
What Is The Success Rate Of Laparoscopic Hysterectomy Surgery In India?
The success rate of laparoscopic surgery in India is quite high to the tune of almost 100%. High success rate of laparoscopic hysterectomy surgery in India can be attributed to the skills of surgeons and availability of world-class hospital infrastructure in India.
When Hysterectomy Surgery Is Recommended?
Hysterectomy Surgery is recommended to treat many women’s health conditions such as:
- Uterine Fibroids – the most common reason for hysterectomy
- Severe Vaginal Bleeding
- Uterine Prolapse
- Chronic Pelvic Pain
- Uterine and Cervical Cancer.
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Types Of Hysterectomy Surgeries Performed
There are different approaches for performing Hysterectomy operations such as:
- Open or traditional hysterectomy that involves making a large incision i.e. six to twelve inches long in the abdominal wall.
- Vaginal Hysterectomy that involves removing the uterus through the vagina.
- Laparoscopic Hysterectomy – performed with the help of a laparoscope that allows surgeon to have clear viewing of inside uterus with just few small incisions.
Surgeons mostly perform Laparoscopic hysterectomy surgery such as:
- Laparoscopic vaginal hysterectomy– in which an intra-abdominal portion of the operation is completed with the laparoscope and the remainder of the operation for vaginal incision, excision of cervical tissues is completed transvaginally.
- Total laparoscopic hysterectomy -in which the entire operation is performed using the laparoscope via the vagina.
Advancement in minimal invasive surgery has lead to the emergence of a state-of-the art robotic surgery has provided a robotic platform hysterectomy.
Robotic assisted laparoscopic hysterectomy allows the surgeon a full view of the surrounding organs and more precise control over incisions.
Besides high success rates, laparoscopic hysterectomy surgery cost in India is extremely low as compared to western or developed countries for the similar procedures.
Recovery Time After Laparoscopic Hysterectomy Surgery
Usually, recovery after an open or traditional hysterectomy takes more time of minimum 6 weeks in healing large incision and fully recovering.
However, when women opt for laparoscopic hysterectomy, the recovery time is shortened to a greater extent. Laparoscopic Assisted Vaginal Hysterectomy done entirely through the Vagina require a recovery period of about 2 weeks.
Whereas women undergone Total Laparoscopic Hysterectomy, involving small ‘keyhole’ incisions in the navel or abdomen, may take an approximate recovery period of two weeks or less.