TLH (Total Laparoscopic Hysterectomy)

TLH (Total Laparoscopic Hysterectomy)

A hysterectomy is the surgical removal of the uterus, usually performed by a gynaecologist. It is the most commonly performed gynaecological surgical procedure. Vaginal and laparoscopic hysterectomies have been clearly associated with decreased blood loss, shorter hospital stay, speedier return to normal activities, and fewer abdominal wall infections when compared with abdominal hysterectomies.


A traditional open hysterectomy requires an abdominal incision of four to eight inches. Using a laparoscope — a slender, fibre-optic tube equipped with a miniature camera, lights and surgical instruments — surgeons have the ability to see inside the abdomen and technical access to the uterus, ovaries and fallopian tubes without having to make a large incision. The surgery is completed utilizing only four tiny abdominal incisions less than one-quarter to one and half an inch in length. Even a large uterus can be removed laparoscopically using this technique.

Post-surgery, patients have a much quicker recovery, usually going home the same day or stay overnight in the hospital. Often, patients are able to return to their normal routine in one to two weeks. Patients report less pain, minimal post-surgical narcotic pain medication use, and a faster recovery time.

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