Laparoscopic Hysterectomy
Removing the uterus through small incisions with a high-definition laparoscope, for conditions such as fibroids and chronic bleeding, with less pain and a faster return to normal life than open surgery.
Laparoscopic hysterectomy is the removal of the uterus through small incisions in the abdomen, using a high-definition camera and precise surgical instruments. International bodies such as the American College of Obstetricians and Gynecologists (ACOG) recommend the least invasive approach, laparoscopic or vaginal, whenever it suits the case, instead of open surgery.
When is a hysterectomy needed?
- Large or multiple fibroids that cause bleeding or pressure.
- Chronic uterine bleeding that has not responded to treatment.
- Painful adenomyosis.
- Endometriosis in some advanced cases.
- Precancerous changes in the cervix or the uterine lining.
- Uterine prolapse in some cases.
The decision is made after discussing the alternatives, such as medication, a hormonal IUD, or removing only the fibroids, especially when the woman still wants children.
How is the operation done?
- Under general anesthesia.
- Usually through 3 to 4 small incisions in the abdomen.
- The uterus is carefully detached, then usually removed through the vagina.
- What happens to the ovaries is decided beforehand: in younger women they are usually kept, to avoid early menopause.
Benefits compared with open surgery
- Less pain after the operation.
- Usually a one-day hospital stay.
- A return to daily activities in about two to four weeks, compared with six to eight weeks after open surgery.
- Less bleeding and a lower risk of wound infection.
After the operation
Periods stop and pregnancy is no longer possible. Avoiding heavy lifting and intercourse for several weeks is advised, following the doctor's instructions at the follow-up visit.