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TLH Surgery

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TLH Surgery in Karol Bagh, Delhi

Total Laparoscopic Hysterectomy (TLH) is a procedure that removes the uterus and the cervix with minimally invasive instruments known as laparoscopes. 

During TLH surgery, a laparoscope is inserted into the abdominal wall through a small incision that enables a doctor to examine the pelvis and the abdomen. Thus, the uterus and the cervix are removed through a small incision.

Additionally, if it is medically necessary, then only the ovaries or tubes are removed, else they are left intact. 

To know more, contact a gynecology doctor near you or visit a gynecology hospital in New Delhi.

What is TLH surgery?

TLH surgery is a minimally invasive surgery and is performed under general anesthesia in an operating room. During TLH surgery, an incision is made just below the umbilicus. Then the abdomen is inflated with gas and a laparoscope is inserted to view the internal organs. Further, the surgeon would make small incisions on the abdomen to pass the minimally invasive surgical instruments. Then the cervix and the uterus are removed. If medically required, then the ovaries and the tubes will also be removed.

Who qualifies for TLH surgery?

TLH surgery is usually performed on those patients who need treatment for medical conditions such as heavy menstrual bleeding, fibroids and pelvic pain. In addition, TLH surgery is also performed as a part of cancer treatment.

Request an appointment at Apollo Spectra Hospitals, Karol Bagh, New Delhi.

Call 1860 500 2244 to book an appointment.

Why is TLH surgery conducted?

TLH surgery is conducted due to the following reasons:

  • Fibroids - Tumors (non-cancerous) cause pelvic pain, heavy uterine bleeding, painful intercourse and other issues.
  • Endometriosis - This leads to a growth in the uterine lining in the parts of the abdomen or uterine muscle that causes pelvic pain.
  • Uterine prolapse - This concerns downward movement of the uterus into the vagina.

Additionally, TLH surgery is also conducted for the treatment of gynecological cancers and pre-cancerous lesions. 

What are the different types of TLH surgeries?

TLH surgery can be performed in two ways:

  • Laparoscopic Assisted Vaginal Hysterectomy - In this type of surgery, a portion of the procedure, i.e. intra-abdominal, is done with a laparoscope and the rest of the procedure is completed transvaginally, i.e. through a vaginal incision.
  • Total Laparoscopic Hysterectomy - The complete procedure is performed with the use of a laparoscope and the surgical specimen is removed through the vagina.

What are the benefits of TLH surgery?

TLH surgery is a minimally invasive surgery and has benefits such as:

  • Short recovery period
  • Reduced postoperative pain
  • Less blood loss
  • Fewer complications
  • Less scarring
  • Shorter hospital stay
  • Quick return to normal regular activities
  • Decreased risk of infection

What are the risks?

  • Organ injury - During the procedure, any organ in the pelvis or abdomen such as spleen, liver, intestine, stomach, bladder and ureter, can be injured.
  • Infection - Postoperative infections can occur even though antibiotics are given prior to the surgery. Bladder infection (UTI) is one of the common types of infection observed after a TLH surgery.
  • Vascular injury - Any of the vessels inside the abdomen are at a higher risk for injury during TLH surgery.
  • Cancer - If the uterus contains a fibroid tumor and this unanticipated tumor is cut during the surgery, then it increases the chances of cancer spread. 
  • Painful intercourse and vaginal shortening
  • Hematoma - When a small blood vessel continues to bleed after the surgery, the area where the blood is collected is known as a hematoma.
  • Chronic pain
  • Deep vein thrombosis (DVP)
  • Lower extremity weakness

When should you seek immediate medical help post-TLH surgery?

If you experience any of the following conditions, then you should seek immediate medical help:

  • Fever (above 100 degrees)
  • Heavy bleeding
  • Vaginal discharge
  • Inability to empty bladder
  • Having trouble in bowel movement
  • Severe pain even after pain medications
  • Vomiting
  • Nausea
  • Difficulty in breathing

What is the recovery time for TLH surgery?

Every patient recovers at a different pace after any surgery. As TLH is a minimally invasive surgery, most of the patients are able to resume their regular activities after two weeks of the surgery. However, full recovery would take around six to eight weeks after the surgery.

What is expected to be done before the TLH surgery to reduce the risk associated with the surgery and increase the recovery rate post surgery?

Some of the tips that would help you reduce the complications and increase the recovery speed are:

  • Eat healthily
  • Have balanced diet
  • Stop smoking
  • Exercise regularly
  • Maintain healthy weight


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