That’s when she got a second opinion, which resulted in a Total Laparoscopic Hysterectomy, by Dr. Raman Singla, at IVY Hospital. It left almost no scar, and she had minimal downtime.”One day later, I pretty much walked out of the hospital,” she says. “By the second day, I felt wonderful. I didn’t have the miserable pain.”
Total Laparoscopic Hysterectomy is a form of minimally invasive surgery that allows the surgeon to view the internal organs through a camera attached to a telescope through very tiny incisions. Laparoscopic surgery is used in Gallbladder, Hernia and Appendectomy surgeries, and has been adapted to surgeries in other fields also.
While upwards of 80% of all hysterectomies are abdominal surgeries, they could well be done as laparoscopic hysterectomies, doctors say.
The trend is indeed moving in that direction – and the patient’s recovery is the biggest reason. There’s a shorter hospital stay and recovery, compared to abdominal surgery, so return to normal activity is much quicker.
Hysterectomy Recovery: A Quick Comparison
It’s easy to see why women opt for laparoscopic hysterectomy. Why suffer with a big incision if you don’t have to? Why have a month or more downtime if it’s not necessary? Compare the three options available:
* The standard abdominal hysterectomy is major surgery with a big belly incision, and a slow, painful recovery. Approximate recovery time: Six to eight weeks.
* The laparoscopic-assisted vaginal hysterectomy, or LAVH – Only women with a relatively small fibroid, small uterus, and no previous caesarean sections can have this. Approximate recovery time: Two weeks.
* The total laparoscopic hysterectomy, TLH – even in patients with large fibroids, previous Caesarean sections – involves only small “keyhole” incisions, often made in the navel or abdomen. Approximate recovery time: One to two weeks.
Earlier laparoscopic-assisted vaginal hysterectomy (LAVH), which debuted in the late 1990s, was the commonly performed procedure. But total laparoscopic hysterectomy is a much newer concept – with the first cases performed in 2005.
The Pros and Cons of Total Laparoscopic Hysterectomy
Nearly any woman is a good candidate for total laparoscopic hysterectomy – ones with larger uterus, whether she has had a caesarean section or not, patients with endometriosis, etc.
The incisions are smaller (1/2 to 1 cm) and much less uncomfortable than that of abdominal hysterectomy. Also, the hospital stay of 1-2 days and the ability to resume normal activity in about 2 weeks are substantially shorter than for abdominal hysterectomy.