Total laparoscopic hysterectomy is a minimally invasive method of removing the uterus.   To view inside your abdomen, your surgeon inserts a camera (laparoscope) into one small incision and performs your procedure with small instruments through the other surgical wounds. The uterus is then removed through the vagina or one of the small wounds in your abdomen.

Women who get a laparoscopic (minimally invasive) hysterectomy recover faster, experience less discomfort, and have fewer infections than women who have an abdominal hysterectomy, which involves a surgical incision in the abdomen. A complete laparoscopic hysterectomy involves the removal of your whole uterus (womb) as well as the uterine aperture (cervix). Other reproductive organs, such as the fallopian tubes (tubes that carry eggs to the uterus) or the ovaries, are sometimes removed (the egg producers). Depending on your age, family history, and purpose for surgery, your surgeon will determine which organs may need to be removed.

If you are looking for a Total laparoscopic hysterectomy, book your appointment with the best gynecologist in Dubai.

What are the indications for Total laparoscopic hysterectomy?

Fibroids are noncancerous tumors that cause pelvic discomfort, excessive and irregular uterine flow, painful intercourse, and other symptoms.

Endometriosis is the abnormal development of the uterine lining in other areas of the abdomen or the uterine muscle (adenomyosis), which causes pelvic discomfort. Uterine prolapse is the migration of the uterus into the vagina. TLH may also be used to treat precancerous lesions and gynecological malignancies. 

Procedure

Following sedation from general anesthetic, the doctor will open a small incision at or near your abdomen for the laparoscope to be passed through, as well as 2-4 further incisions in your lower abdomen to insert essential surgical tools. The abdomen will be inflated with carbon dioxide gas to enable the doctor to insert the laparoscope and visualize the abdomen/pelvis. The uterus will be separated from ligaments and surrounding blood vessels under the guidance of the laparoscope. To separate the uterus and cervix, an incision will be created at the top of the vagina; the incision will then be closed with dissolvable sutures, and required blood vessels will be cauterized to avoid bleeding. The uterus is then removed through the vagina.

Suturing the top of the vagina, the essential layers of the abdomen and skin, and applying dressings over the incision sites completes the procedure.

Why do surgeons perform this procedure?

This technique may be beneficial for the following conditions: • Heavy bleeding • Fibroids (non-cancerous muscular tumors) • Uterine pre-cancer or malignancy • Endometriosis or adenomyosis (when uterine tissue grows outside your uterus or within the muscular walls of the uterus) • Collapse (uterus dropping into the vagina).

If you are looking for a surgeon who can perform a Total laparoscopic hysterectomy, then book your appointment with the Best Indian Gynaecologist in Dubai.

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