TLH (Total Laparoscopic Hysterectomy):-

What is a Total Laparoscopic Hysterectomy?

It is a minimal access surgical procedure which facilitate the removal of non prolapsed uterus through vaginal route. Total Laparoscopic Hysterectomy (TLH) is an operation to remove the uterus with the aid of an operating telescope known as a laparoscope. This tiny instrument is inserted through a small cut within the abdominal wall and allows the surgeon to see inside patient's abdomen. The main benefit of this sort of hysterectomy is that patient will not need to possess a large cut in your abdomen as well as your recovery is generally much faster. Cervix of the patient, or the neck from the womb, is also removed during this operation by laparoscopic technique. Uterine artery, Uterosacral ligament, cardinal ligament or Mackenrodt's ligament, all is dissected from above. Ovaries of patient might be removed based on wishes of gynecologists as well as patients condition. Not every patient is suitable for this total laparoscopic hysterectomy. If it's suitable for the patient, Gynaecologist will decide type of hysterectomy require for the patient.

What goes on throughout the surgery?

Surgery is performed under a general anaesthetia. Carbon dioxide gas is inserted in abdominal cavity, through an insufflator to inflate the abdomen and also to create space to operate. Laparoscope passed above umbilicus through small incision. Small operating instruments are passed in abdomen to do the surgery. The clear images inside the abdomen are seen on the screen and the operation of TLH is done. A cut is made round the cervix and into the vagina and the uterus is removed through the vagina The vaginal cut is closed with absorbable stitches If the ovaries and tubes should be removed simultaneously they will also be freed and removed through the vagina or through one of the port. The pelvic cavity is going to be beaten up having a sterile solution. The CO2 gas will be removed as much as possible and also the wounds closed with sutures. Sometimes, a little drain tube is inserted through among the wounds to empty some blood stained fluid and gas after the operation. This is removed the very next day if everything is found normal.