A total hysterectomy is the surgical removal of the uterus and cervix. This operation is one of the most common gynecological procedures. The procedure can be lifesaving for those suffering from heavy bleeding due to fibroids, Adenomyosis or severe pain due to endometriosis or gynecological cancers. A Hysterectomy is major surgery, but with new technological advances the discomfort, risk of infection and recovery time has all been decreased remarkably.

There are currently three surgical approaches to Hysterectomies. These include:

Open, Traditional Hysterectomy: This involves a six to eight inch incision made in the abdominal wall.

Vaginal Hysterectomy: This involves removing the uterus through the vagina. This approach is better than the open, traditional Hysterectomy, but still does not allow the surgeon a full view of the surrounding organs, including the bladder & ureter.

Total Laparoscopic Hysterectomy: Using a Laparoscope, a slender, fiber-optic tube equipped with a miniature camera, lights and surgical instruments, gynecologists have the ability to see inside the abdomen and technical access to the uterus, overies and faliopian tubes without having to make a large incision. The duration of total laparoscopic Hysterectomy varies from 40-80 minutes (average 60 minutes). With advanced Laparoscopic skills, Gynecological surgeons are able to perform TLH. The surgery is completed utilizing only four tiny abdominal incisions 5mm to 1cm long. Even a very large uterus can be removed Laparoscopically using this technique. It offers numerous potential benefits over traditional approaches, particularly when performing more challenging procedures like radical Hysterectomy for Gynecologic cancer.

Potential benefits include:

  • Less blood loss
  • Fewer complication
  • Less scarring
  • Decreased risk of infection

Post surgery, patients have a much quicker recovery, usually going home on the same day or stay overnight in the hospital. Often, patients are able to return to their normal routine in one to two weeks. Patients report less pain, minimal post-surgical pain medication use, and a faster recovery time than women undergoing abdominal Hysterectomies who usually require a four to five days hospitalization and lengthy recovery time of usually six to eight weeks.

Dr. Vibha Chaturvedi Sharma
Dr. Vibha Chaturvedi Sharma

Senior Consultant - Obstetrics & Gynaecology
Department of Obstetrics and Gynaecology