The Procedure Called Total laparoscopic Hysterectomy

Hysterectomy refers to the removal of the uterus for pain,
bleeding, uterine fibroids or endometriosis. If the cervix is retained it is referred
to as a supracervical hysterectomy.
If the ovaries are removed it is referred to as an oophorectomy, and if the
fallopian tubes are removed it is called a salpingectomy. So a removal of all
the pelvic structures is called a complete hysterectomy would be a hysterectomy
plus a bilateral (both sides) total hysterectomy with bilateralsalpinoophorectomy.
Using a laparoscopy, essentially a camera directed set of very small diameter instruments;
the procedure is the least invasive. The procedure usually requires a patient
to be asleep under general anesthesia. The tubes are placed in the locations
needed, and once the uterus is completely free in the abdomen it is removed
through the vaginal opening. The procedure is able to be performed because the
bowel is held away through gravity and instrumentation, and the abdominal wall is
pouched out by the infusion of gas into the abdomen. The blood vessels,
supporting structures and the overlapping tissues are first sealed and then cut
with heat. After the procedure is done a woman has a few ¼ inch incisions, rarely
these extend to about ½ or ¾ of an inch. The advances in safe bipolar cutting
energy, and tools to help a surgeon operate and push the areas cut away from
other vital organs, as well as techniques to prevent the loss of gas, have made
the total laparoscopic hysterectomy the best type of hysterectomy for many
women and many indications. It also has the advantage of other low invasive
procedures as being very cost effective. I suggest my patients come in to
discuss whether a hysterectomy is indicate in your case and if it is, what is
the best way to accomplish this so that you get back to full activities as
quickly as is possible. Watch for other posts on the procedure of total
laparoscopic Hysterectomy.


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