Laparoscopic hysterectomy is a gynecological surgical procedure that is performed to treat several medical conditions that affect the reproductive system. It involves removing the uterus using the keyhole technique and may also involve removing the cervix.
Why would I need a Hysterectomy?
Your gynecologist may recommend a hysterectomy if you have heavy or irregular periods, endometriosis, uterine fibroids, pelvic pain, prolapse or gynecological cancer.
The benefits of a laparoscopic hysterectomy include less pain, less scarring, and quicker recovery, both inside and outside of the abdomen, as compared to an abdominal hysterectomy.
Preparing for surgery
If you are still having your periods, you will go through menopause immediately after removing your ovaries, and you may need to start hormone replacement therapy at least until the age of 50 to prevent the risk of osteoporosis.
Before the surgery, the doctor will explain the procedure in detail, discuss the chances of hysterectomy leading to a cure or improvement in your condition, and request some tests, such as blood tests and ECG, to ensure you are fit for surgery.
Day of surgery
On the day of your surgery, our surgeon, anesthesiologist, and nursing staff will run some medical checks, and they will be able to answer any questions or concerns you may have.
Laparoscopic hysterectomy is performed under a general anesthetic. The surgeon inserts a narrow plastic tube (cannula) into a vein in your arm or hand using a needle to give you fluids and medications. After you have been given a general anesthetic and you are asleep, the surgeon makes a small incision within or around your navel to fill your abdomen with gas and insert the laparoscope to allow a clear view of the internal organs. After that, they will make 2 or 3 other small incisions, about 1 cm each, on your abdomen to insert other surgical instruments. The decision to remove the ovaries and fallopian tubes or keep them will depend on the reason for your surgery. The surgeon will remove the uterus and cervix through the vagina. However, if the uterus is too large to remove vaginally or the vagina is too narrow, the surgeon will remove them through a slightly larger incision on the abdomen. Once finished, the surgeon will close the incisions with dissolvable stitches or medical glue.
The procedure takes around 2 hours, and you will need to be monitored in the recovery room for another 2 hours.
After you are moved to the recovery room, you will feel tired and sleepy as the anesthetic takes time to wear off. When you feel better and more awake, you will be given IV fluids to keep you hydrated and pain medications to manage pain and discomfort. You will have a catheter into your bladder to drain urine, and it may be removed on the same day of surgery or the next day.
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