Total laparoscopic hysterectomy is the process of removal of the uterus and cervix through four small (1/2’- 1’) abdominal incisions.
When is TLH recommended?
TLH is the choice of surgery to treat various conditions of the uterus, which may include:
- Infection in the ovaries or tubes
- Pelvic pain
- Overgrowth of tissue in the lining of the uterus
- Abnormal vaginal bleeding
After proper preparation, the doctor will sedate you with anesthesia. Once you lose consciousness, the laparoscope is inserted into the abdomen and carbon dioxide gas is blown into the abdomen to inflate the belly wall away from the internal organs. Then your doctor will make 4 small incisions in your abdomen to remove the uterus, cervix, the ovaries, and tubes.
What can be the risk factors involved during the surgery?
Though your doctor will carry out the surgery with all precision, there can be still some chances of complications that may occur. They include:
- Damage to the bladder or bowel
- Conversion to an open surgery
What can be the possible risks that can occur days to weeks after surgery?
- Bowel obstruction
- A blood clot in the legs or lungs
- Opening of the incision
- Infection: Bladder or surgical site infection
- Scar tissue
What is the recovery time for TLH?
The recovery period after a total hysterectomy is usually between six to eight weeks. It is normal to have a decreased energy level after surgery. During the first week at home, you should minimize any strenuous activity. Walking around the house and taking short walks outside can help you get back to your normal energy level more quickly.
Climbing stairs are permitted, but you may require some assistance when you first return home. For 4-6 weeks after your surgery, you should not lift anything heavier. You may begin normal physical activity within hours of surgery. No sexual activity for 8 weeks after surgery is recommended.
Talk to our gynecologist at CMC, Dr. Navdeep Kaur for accurate treatment involving TLH.