Today, laparoscopy is one of the most common surgical procedures performed in many parts of the world. In contrast to the conventional surgical procedure, laparoscopic surgery is favoured by patients for the motive that surgical scar is nominal, better curing time, shorter hospital stays and earlier recovery to normal life. The invention of Laparoscope has been one of the key advances in surgery, making much of minimally invasive surgery today possible. For many gynaecologic procedures, such as removal of an ectopic pregnancy, treatment of endometriosis, ovarian cystectomy and hysterectomy, laparoscopy has become the treatment of choice.
How does it work?
After the incision is made and the laparoscope inserted, the surgeon looks at the images being captured by the laparoscope on a monitor similar to a television screen. This enables the surgeon to check the organ and surrounding tissues, take samples for examination under a microscope or even remove a tumour (instruments for cutting and removing tissue are part of the procedure).
Advantages of Laparoscopic Surgery
• Shorter hospitalization.
• Minimal Blood Loss
• High Success rate
• Much less Pain
• Less risk of wound infection.
Gynecologic conditions that can be treated with Laparoscopic Surgery
Laparoscopic surgeries at Shah Hospital Ludhiana
• Uterine fibroids
• Heavy menstrual bleeding (abnormal menstrual bleeding)
• Ovarian cysts/benign tumours
• Structural abnormalities of the uterus/vagina
• Pelvic organ prolapse and urinary incontinence
• Pelvic pain
• Pelvic Adhesions
• Ectopic pregnancy
• Cervical cancer
• Uterine cancer
Hysterectomy is the most common operative procedure performed in non-pregnant women.
Hysterectomy can be performed to treat various gynecological conditions, including heavy or irregular menstruation, fibroids, and suspected or proven cancer of the uterus or cervix.
The selection of surgical treatment normally depends on the extent and nature of patients’ health condition as well as their personal factors. Some patients may also have been prescribed for alternative treatment like drug treatments, coils or minor surgery.
In a total hysterectomy (TH) whole uterus (womb) along with the cervix (neck of the womb) is removed surgically.
In a sub-total hysterectomy (STH) only the upper part of the womb without the cervix is removed surgically.
Earlier, Laparoscopy was usually done to assist vaginal hysterectomy also known as Laparoscopic Assisted Vaginal Hysterectomy (LAVH). It helps in improving the visualization of the upper pelvis and thereby allows complicated surgeries to be performed easily.
Laparoscopic Hysterectomy (LSH) is also known as keyhole surgery usually performed to remove the uterus (womb) through 4 small incisions on the abdomen below the belly button. In some cases the ovaries and fallopian tubes are also removed at the same time, this procedure is called as a salpingo-oophorectomy. The laparoscopic hysterectomy has shown advantages of significantly shorter time of procedure and hospital stay along with lesser complications compared to LAVH or total hysterectomy (TH). A total Laparoscopic Hysterectomy (TLH) is almost similar procedure like LSH with an additional use of a colpotomizer to allow the vaginal incision.
Recovery time after surgery:
Once a laparoscopic hysterectomy surgery is performed successfully, a majority of patients stay in the hospital, for approximately 2-3 days, but in some cases, they may stay even longer. The exact time of stay depends on the cause of surgery, patient’s general health, and post-surgical conditions. Overall recovery may take 6 to 8 weeks and get back to normal routine.
Do and don’t after discharge from hospital:
• Try to remain mobile
• Eat and drink normally
• If essential use sanitary pads only
• Shower regularly
• Avoid intercourse for 6 weeks
• Don’t undertake heavy lifting or straining for 6 weeks
Gynecologic conditions that can be diagnosed or treated with Hysteroscopy
At Shah Hospital for Minimally Invasive Gynecological Surgery, Hysteroscopy is used to diagnose or treat certain conditions such as:
• Structural Abnormal uterine bleeding
• Causes of repeated miscarriages
• Structural abnormalities of the uterus
Gynaecology procedures and surgeries through laparoscope have become the first choice for its ease, less pain and minimal external scarring.
For more information and any query Laparoscopic Hysterectomy visit Shah Hospital to consult with our specialist Gynecologist and Laparoscopic Surgeon.