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Dr. Hitendra Sharma

Consultant - General Surgery

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Dr. Hitendra Sharma

Consultant - General Surgery

Manipal Hospitals, Ghaziabad

Total Laparoscopic Hysterectomy: Surgery and Recovery

Posted On: Aug 06, 2024
blogs read 4 Min Read
Total Laparoscopic Hysterectomy: Surgery, Benefits, and Recovery

The surgical excision of the uterus, known as a hysterectomy, can be frightening. If you're considering this procedure, you're likely filled with questions. This blog delves into total laparoscopic hysterectomy (TLH), a minimally invasive surgical approach to hysterectomy, exploring the surgery itself, the recovery process, and what to expect.

 

Why Choose TLH? Understanding the Benefits

TLH is superior than open hysterectomy in a number of ways: TLH offers several advantages over traditional open hysterectomy:

  • Smaller incisions: TLH uses laparoscopic techniques, meaning several few small incisions are made in the abdomen instead of a large abdominal cut. Small incisions mean less chances of Incisional Hernia.

  • Reduced pain: Smaller incisions generally translate to less postoperative pain.

  • Faster recovery: Minimally invasive surgery often leads to a shorter hospital stay and a quicker return to daily activities.

  • Improved cosmetic outcome: Smaller incisions result in less noticeable scarring.

TLH might not be suitable for everyone, depending on the reason for the hysterectomy and any existing medical conditions. Discuss the suitability of TLH with our experienced gynaecologist in Ghaziabad.

Preparing for Surgery: What to Expect Before TLH

Before your TLH surgery, our doctor will likely:

  • Review your medical history: Examine your past medical records to see whether you are a good candidate for surgery and for general health. 

  • Perform a physical exam: A thorough physical examination is crucial for planning the tlh operation.

  • Order diagnostic tests: Blood tests, imaging studies (ultrasound, MRI), or endometrial biopsy might be needed.

  • Discuss anaesthesia options: General anaesthesia is typically used for TLH.

  • Provide pre-operative instructions: This might involve dietary restrictions, medication adjustments, and showering with a specific antiseptic solution.

The TLH Procedure: A Step-by-Step Walk-through

Here's a simplified overview of the TLH surgical process:

  1. General anaesthesia: You'll be comfortably asleep during the surgery.

  2. Creating laparoscopic access: Small incisions are made in your abdomen. CO2 gas is inflated into your belly to create space for visualization.

  3. Inserting the laparoscope: A thin, lighted tube with a camera is inserted through one incision to view your pelvic organs on a monitor.

  4. Separating and removing the uterus: Surgical instruments are inserted through other incisions to carefully dissect and remove the uterus. Depending on your situation, the cervix and ovaries might also be removed.

  5. Closing the incisions: The CO2 gas is removed, and the incisions are closed with sutures or staples.

This is a simplified explanation. The exact details of the surgery may vary depending on your individual circumstances. Consult our expert general surgeon in Ghaziabad to know more about the TLH procedure.

The Road to Recovery: What to Expect After TLH

Following TLH surgery, you can expect:

  • Hospital stay: Typically, a one-night stay is common, though it can vary depending on your recovery.

  • Pain management: Pain medication will be provided to manage discomfort. Pain is usually less intense compared to an open hysterectomy.

  • Recovery at home: Plan for rest and recuperation for several weeks. Gradually resume activities as tolerated, avoiding strenuous exercise for the initial healing period.

  • Vaginal discharge: You might experience some vaginal bleeding or discharge for a week or two after surgery.

  • Dietary restrictions: Initially, you might be on a liquid diet, progressing to soft foods as tolerated.

  • Follow-up appointments: Schedule regular follow-up visits with our doctor to monitor recovery and healing.

Recovery is a personal process. Listen to your body, prioritize rest, and don't hesitate to reach out to your doctor if you experience any concerning symptoms like excessive bleeding, fever, or severe pain.

Life After TLH: What to Know

Following a TLH, most women can return to their normal activities within 4-6 weeks. Here are some things you have to consider additionally:

  • Sexual activity: Wait for our doctor's green light before resuming sexual activity, usually around 6-8 weeks after surgery.

  • Menopause: If your ovaries are removed during the surgery, you will experience menopause and its associated symptoms like hot flashes and vaginal dryness. Hormone replacement therapy might be an option to discuss with our gynaecologist in Ghaziabad.

  • Emotional well-being: A hysterectomy can be an emotionally significant event. Don't hesitate to seek support from your partner, family, or a therapist if needed.

The Bottom Line: Making an Informed Decision

A total laparoscopic hysterectomy can be a safe and effective option for women who need to have their uterus removed. By understanding the procedure, the recovery process, and what to expect after surgery, you can make an informed decision. Book a consultation at our gynaecology hospital in Ghaziabad for a detailed discussion on this. You may also bookmark our blog page to read the latest blogs shared by our doctors.

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