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Total Laparoscopic Hysterectomy

Underlying Problem Requiring Total Laparoscopic Hysterectomy:
A total laparoscopic hysterectomy involves the removal of the uterus and may be indicated for one of several reasons. A total hysterectomy is often part of a treatment plan for uterine cancer, for example. Women and their doctors may also choose this route as a treatment option for endometriosis or fibroids. The small incisions required for laparoscopic surgery have several potential advantages over the traditional open surgery for a hysterectomy.

Treatment:

A total hysterectomy includes the removal of the fundus, uterine body, and cervix. In some cases, the Fallopian tubes and ovaries may also be included. By making this a laparoscopic procedure, doctors are able to make smaller incisions, resulting in less scarring and a faster and less painful recovery. To perform a total laparoscopic hysterectomy, four small incisions will be made in the abdomen. Often, one of the incisions can be made in the navel to further reduce the appearance of scarring. The patient will be kept comfortable with a general, local, or spinal anesthetic.

Through the tiny incisions, the doctor will insert a camera and the necessary instruments. He or she will then proceed to detach the uterus from the connective tissues and blood supplies supporting it. The organs will then be removed, either through the vagina, or through the original incisions. To make this possible, the uterus and other structures may first be cut into smaller pieces.

Recovery:

Generally speaking, patients will benefit from a decreased recovery period and less pain than those who undergo an open surgery for their hysterectomies. It is common for them to go home the same day or possibly after a one-night stay in the hospital or clinic. The doctor will prescribe pain medication and will issues instructions on how to care for the incisions and what activities to avoid. Patients are usually able to return to their regular daily activities within a week or two.

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