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TLH Surgery

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Best TLH Surgery Treatment & Diagnostics in Chembur, Mumbai

Total Laparoscopic Hysterectomy (TLH) is a minimally invasive surgical procedure to remove the uterus. The procedure is usually performed for patients suffering from a critical gynecological problem.

What do we need to know about TLH?

TLH is performed in the operating room under general anesthesia.

The procedure involves the use of a laparoscope or a small operating telescope inserted through a small incision in the abdomen that is inflated with gas (in case of a single site laparoscopic procedure). The surgeon can view internal organs with a laparoscope and operate on the affected organs with the help of surgical instruments.

TLH surgery doctors in Mumbai will ask you to take several blood and imaging tests before the actual procedure.

What are the different types of hysterectomy procedures?

Different types of hysterectomy procedures may involve the removal of a part of the uterus or the whole of it.

  • During a supracervical hysterectomy, the upper part of the uterus is removed and the cervix remains untouched.
  • As explained earlier, a total hysterectomy involves the removal of the uterus and the cervix.
  • Another procedure involves the removal of the uterus, cervix, fallopian tubes and ovaries. It is called total hysterectomy with bilateral salpingo-oophorectomy.
  • When a patient undergoes radical hysterectomy with bilateral salpingo-oophorectomy, it involves removal of the uterus, cervix, ovaries, cervix, fallopian tubes, the upper portion of the vagina (may involve and some surrounding tissues) and the lymph nodes. This procedure is mostly performed for patients suffering from cervical cancer or uterine cancer.

Why is TLH performed?

If a TLH surgery specialist in Mumbai recommends the procedure, it could be due to one of the following gynecological issues:

  • Endometriosis (a condition where the uterine tissue, called the endometrium, grows outside the uterus)
  • Uterine cancer
  • Abnormal uterine bleeding
  • PID or Pelvic Inflammatory Disease (an infection in a woman’s reproductive organs)
  • Uterine prolapse (a condition where the uterus drops in the vaginal canal)
  • Fibroids (abnormal growth in the woman’s uterus)   

The surgery may be performed with the help of robotic instruments that are used with the laparoscope.

When do you need to see a doctor?

If you suspect any of the conditions mentioned above, consult a gynecology doctor near you.

You can request an appointment at Apollo Spectra Hospitals, Chembur, Mumbai.

Call 1860 500 2244 to book an appointment.

What are the benefits of TLH?

  • Since laparoscopic procedures are minimally invasive, the recovery period is shorter and the postoperative pain is much less compared to a vaginal hysterectomy.
  • Laparoscopic surgeries provide surgeons with an excellent anatomical view (that is structural view) of the insides of the abdomen and pelvic areas. 
  • Provides better access to the uterus compared to vaginal hysterectomy, especially for patients who have a narrow pubic arch or patients with cervical elongation.
  • TLH is a comparatively safer surgical option for patients with a large or bulky uterus, for patients who have undergone prior pelvic surgery or for women suffering from severe infiltrating endometriosis. It is helpful for surgeons performing concurrent oophorectomy (surgical removal of one or both ovaries).
  • TLH minimizes morbidity (medical complications due to treatment) for obese patients.

What are the complications of TLH? 

Some patients may develop one or more conditions due to injury to an internal organ, abnormal bleeding or infection. Patients are observed post-surgery to detect any complications like severe pain, nausea or inability to empty the bladder.   

To know more, you can consult TLH surgery doctors in Mumbai.


TLH is a safe and established medical procedure. It has shown rapid recovery in women and ensured an improved quality of life. You must select a renowned TLH surgery hospital in Mumbai for your gynecological concern.

How long does the procedure last?

TLH may last for an hour or even three hours depending on the condition and age of the patient. After the procedure, you will be monitored in the recovery room.

Will I get my periods after TLH?

You may experience light bleeding or a brown vaginal discharge for four to six weeks after the procedure.

Is there pain in the incision?

It is normal to have discomfort around the incision for four to six weeks. You may experience itching around the incision area as well.

Will I experience menopause after the procedure?

If the ovaries and uterus are removed during TLH, you may experience menopause and have symptoms related to menopause. It is normal for you to undergo emotional turmoil following the procedure.

What should I do in case of abnormal side effects post-surgery?

It is unlikely for patients to develop swelling or redness in the leg or incision area. Some patients may feel breathless or have abnormal leakage from the incision. In such cases, you must speak to your surgeon or medical care team immediately.


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