Laparoscopic Hysterectomy

Hysterectomy is a major operation for removal of the uterus. This procedure can be done laparoscopically too.

Types of hysterectomy

• Total Hysterectomy: Removal of the uterus and cervix with preservation of the ovaries. In pre-menopausal women, this means there is no change in hormonal status.
• Subtotal Hysterectomy: The cervix of the uterus is preserved and routine cervical screening is necessary in future.
• Total Hysterectomy and bilateral-salpingo-oophorectomy: Removal of the uterus, cervix, ovaries and fallopian tubes. In pre-menopausal women this would mean a loss of ovarian hormones. In turn, this means you will go into menopause. In postmenopausal women, there is no hormonal change as the ovaries have already stopped functioning.

The three main methods of hysterectomy are:

• Vaginal: The vaginal route is suitable where the uterus is prolapsed and is not too large in size.
• Abdominal: The abdominal route remains the most common method of hysterectomy. This means a seven to ten centimetre abdominal incision and a hospital stay of five to seven days.
• Laparoscopic: The laparoscopic route, performed through three to four small skin incisions, is a safe and effective alternative method to abdominal surgery when performed in the hands of surgeons trained in laparoscopic surgery. The route of surgery is often determined by the indication for hysterectomy, the severity of the pathology, and the surgical skills and experience of the surgeon. While it is natural for most women to go for the least invasive method, ultimately, you should discuss with doctor & will advise and choose the safest route for your hysterectomy.