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Laparoscopy
- 2. • A hysterectomy is the removal of the uterus (womb). For certain conditions, the Fallopian tubes and ovaries are also remove
- 3. Laparoscopic Hysterectomy • A laparoscopic hysterectomy is a minimally invasive surgical procedure to remove the uterus. A small incision is made in the belly button and a tiny camera is inserted. The surgeon watches the image from this camera on a TV screen and performs the operative procedure. Two or three other tiny incisions are made in the lower abdomen. Specialized instruments are inserted and used for the removal process.
- 4. What is laparoscopically assisted vaginal hysterectomy (LAVH)? • Laparoscopically assisted vaginal hysterectomy (LAVH) is a surgical procedure using a laparoscope to guide the removal of the uterus and/or Fallopian tubes and ovaries through the vagina (birth canal)
- 5. This procedure does not leave a large visible scar. (You may have very small scars from the 2 or 3 tiny cuts in your belly that were used to place tools into your belly.
- 7. Type of hysterectomy • Women can choose to either keep the cervix in place (called a “laparoscopic supra-cervical hysterectomy”) or remove the entire uterus and cervix (“ total laparoscopic hysterectomy”).
- 8. What are the advantages of a laparoscopic hysterectomy surgery? • A laparoscopic hysterectomy requires only a few small incisions, compared to a traditional abdominal hysterectomy which is done through a 3-6 inch incision. As a result, there is less blood loss, less scarring and less post-operative pain. A laparoscopic hysterectomy is usually done as an outpatient procedure whereas an abdominal hysterectomy usually requires a 2-3 day hospital stay. The recovery period for this laparoscopic procedure is 1-2 weeks, compared to 4- 6 weeks after an abdominal hysterectomy. • The risks of blood loss and infection are lower with laparoscopic hysterectomy than with an abdominal hysterectomy. In experienced hands, laparoscopic hysterectomy takes about the same length of time as an abdominal hysterectomy and involves no greater risk.
- 9. • What type of anesthesia will be required? • Patients are put to sleep under general anesthesia • Is there a hospital stay after surgery? • The majority of our patients go home the same day as their surgery.
- 10. Hysterectomy Laparoscopy Laparacotmy Bleeding Low chance High chance Infection Decrease Increase Recovery time 2 week 4-6 week Hospitalization One day 3 day Cost ? ? Operation time ? ? Scare No yes
- 11. Contrindication • accounts only for 30% of hysterectomies due to many restrictions. These restrictions are absolute or relative contraindications include significant uterine enlargement • accounts only for 30% of hysterectomies due to many restrictions. These restrictions are absolute or relative contraindications include significant uterine enlargement, fixation of the uterus by adhesions, previous pelvic surgery, endometriosis, restricted uterine mobility, and adnexael pathology.2,4 In fact, most of these contraindications depend upon surgeon’s experience.