Total laparoscopic hysterectomy is the surgical procedure of removing uterus and cervix. If necessary, removal of tubes and ovaries will also be done. This surgery is used for diseases like fibroid, growth of tissues on the inner part of the uterus, heavy bleeding in the vagina, infection of fallopian tubes and ovaries etc.
Preparation for surgery
First step in the preparations for the surgery is to conduct a pre medical checkup in which you will meet a general medical practitioner and an anesthesiologist who will decide your general health conditions and your ability to undergo a surgery after checking your lab reports. Smoking and some medication now taken by patient will have to be stopped as per the direction of the physician. Bowel cleaning will be done the on previous day. You are not allowed to have any food including liquid food for six hours prior to the appointed time of the surgery. Have a shower before the surgery and do not use any make up or nail polish or cosmetics.
Spinal anesthesia or general anesthesia will be given depending upon your health condition and your preferences. When you are asleep laparoscope will be inserted into your stomach through small incisions about 1 to 1.5 centimeters on your abdomen. Instruments for the surgery will be inserted through other three incisions in the abdomen. Laparoscope is a long tube on one end of which a small video camera is connected and the other end of which is connected to the monitor in front of the surgeon. The abdomen will be filled by carbon dioxide gas which will keep the belly inflated and the internal parts away from belly wall. By viewing the interior parts of the uterus through laparoscope, surgeon performs the surgery through remotely controlled instruments.
As this is a surgery with small incisions, the blood loss will be less. Recovery will be faster and the patient will be able to go for normal work within two or three days after surgery. The pelvic anatomy of the patient and the surgeons experience plays a crucial role in the successful completion of total laparoscopic hysterectomy. Adhesions of previous surgery, greater uterine width, obesity etc are contra indications for this procedure.