Laparoscopic Hysterectomy – Breaking it Down

December 3, 2020

Your uterus can change your life. But to some women, it can also cause great discomfort. Bleeding, menstrual cramps, fibroids and positional displacement are some of the problems that can affect a woman, and most often, a hysterectomy may be the best solution.

A hysterectomy is a surgery that is performed to extract the uterus. It is an operation that is usually suggested after other medical avenues haven’t proved fruitful. Although a hysterectomy typically involves the extrication of the uterus, in some procedures, the extraction of the ovaries and the cervix may also be recommended by the doctor. Conditions that may warrant a hysterectomy include uterine fibroids, uterine prolapse, endometriosis, abnormal vaginal bleeding, chronic pelvic pain or cancer of the uterus, cervix or vagina.

Hysterectomies are categorised into three brackets, based on the organs involved:

  1. Supracervial or subtotal hysterectomy: In this procedure, only the top half of the uterus is removed, and the cervix and ovaries are left undisturbed.
  2. Total hysterectomy: This operation involves the removal of the entire uterus, along with the cervix.
  3. Radical hysterectomy: A surgery that retrieves the uterus, the tissues of the uterine wall, the cervix, and the upper part of the vagina. A radical hysterectomy is normally recommended when cancer has been detected.

Traditionally, hysterectomies have been associated with protracted downtimes and scars that serve as mementoes from the operation table. However, with the advent of minimally invasive laparoscopic hysterectomies, both recovery windows and physical scars have dramatically shrunk. Here’s a look at the various types of hysterectomies, and why you should consider a laparoscopy:

Abdominal hysterectomy:

  • Explanation: This is the most common hysterectomy that you’ll come by, and one which will have you recover the slowest. In this surgery, a large incision is made into the belly and the uterus is removed through it.
  • Estimated recovery window: Six weeks.

Vaginal hysterectomy:

  • Explanation: This procedure is performed entirely through the vagina, with the aid of a laparoscope. While patients with a small uterus, relatively small fibroids and no previous caesarean sections are best suited for this operation, a skilled surgeon may be equipped to operate on patients with a larger uterus and large fibroids.
  • Estimated recovery window: Two weeks.

Total laparoscopic hysterectomy:

  • Explanation: Small incisions are made in the abdomen, through which a tube with a camera is passed. A surgeon performs the surgery from outside the body, using the visual feed from the camera. There are no criteria for this surgery, and most women are suited to undergo it.
  • Estimated recovery window: Two weeks.

A laparoscopic hysterectomy may take marginally longer and be slightly more expensive than traditional procedures, but the physical and psychological benefits it offers women often compensate for the cost differential. When opting for a laparoscopy, the important thing to consider is the experience of the surgeon performing the procedure. Ask questions about how many surgeries your surgeon has performed and what complications have arisen in the past.

At Cloudnine, our veteran doctors have performed hundreds of laparoscopic hysterectomies across the country, setting new benchmarks in gynaecological care. Meet a Cloudnine doctor today, to understand how a laparoscopic hysterectomy could help you.

Want to consult the best gynecologists in India? Please find the links below.

  1. Best Gynecologists in Bangalore
  2. Top Gynecologists in Chennai
  3. Top Obstetricians & Gynecologists in Mumbai
  4. Top Gynecologists near me in Pune
  5. Best Obstetricians & Gynecologists in Chandigarh
  6. Top Obstetricians & Gynecologists near me in Gurgaon
  7. Best Gynecologists near me in Noida

Frequently Asked Questions

How does your life change after a hysterectomy?

A hysterectomy leads to a surgical menopause, meaning you will not have your monthly menstrual periods. The absence of ovaries can cause a range of hormonal changes, and your sexual health may also experience changes. You will also have to adjust to the changes to your pelvic floor.

What is the recovery time for a laparoscopic hysterectomy?

Most women will require about 2 to 6 weeks to recover from a laparoscopic hysterectomy. However, full recovery can take up to 2-3 months. The first two weeks are the hardest, and it slowly gets better. The discomfort at the site of incision can last a little longer.

Can I lead a normal life after a hysterectomy?

Yes, after a full recovery, with your doctor’s approval, you can get back to your normal lifestyle. If you have been suffering from persistent pelvic pain, a hysterectomy can help you live a more comfortable life. Hysterectomy helps reduce the risk of uterine cancer and provides relief from heavy or irregular bleeding as well.

Is bed rest required after laparoscopic hysterectomy?

A complete bed rest is not required. However, you should restrict your activities for the first two weeks until your doctor approves an increase in activities. You should alternate periods of rest and activities to avoid putting too much pressure on your abdominal muscles and the incision site.

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