Laparoscopic Hysterectomy

What is a laparoscopic hysterectomy?

A laparoscopic hysterectomy is a minimally invasive surgery to remove the uterus. It is often used to treat gynaecological conditions such as heavy periods, fibroids, endometriosis, pelvic pain, and certain types of cancer. This keyhole technique involves small incisions and a camera-guided approach, resulting in less pain, faster recovery, and minimal scarring compared to traditional open surgery.

When is laparoscopic hysterectomy recommended?

This procedure may be suggested if non-surgical treatments haven’t provided relief. It is commonly recommended for:

• Heavy or irregular periods that significantly impact daily life.
• Fibroids: Non-cancerous growths causing pain, bleeding, or pressure.
• Endometriosis: When tissue similar to the uterine lining grows outside the uterus, leading to pain and infertility.
• Pelvic organ prolapse: When the uterus drops into the vaginal canal due to weakened muscles.
• Adenomyosis: A condition where the uterine lining grows into the muscle wall, causing pain or bleeding.
• Gynaecological cancers: Such as uterine or cervical cancer.

Your doctor will evaluate your condition to determine if this procedure is the best option for you.

Preparing for laparoscopic hysterectomy

• Consultation and tests: Your doctor will perform a thorough evaluation, possibly including ultrasounds or MRIs, to plan your surgery.
• Medication adjustments: You may need to stop certain medications, such as blood thinners or anti-inflammatories, before surgery.
• Lifestyle optimisation: Eating a healthy diet, staying active, and avoiding smoking can aid recovery.
• Fasting: You’ll likely need to fast for several hours before the procedure.

Take this opportunity to ask your doctor any questions to ensure you feel confident and informed.

What happens during the procedure?

The surgery is performed under general anaesthesia and typically lasts 1–2 hours.

• Small incisions: Tiny cuts are made in the abdomen for the laparoscope (a thin camera) and surgical instruments.
• Guided surgery: The surgeon removes the uterus, and if needed, other structures such as the ovaries or fallopian tubes.
• Closure: The incisions are closed with dissolvable stitches or glue, and a dressing is applied.

Most patients can go home the same day or after a short hospital stay.

Benefits of laparoscopic hysterectomy

• Faster recovery: Most women return to light activities within two weeks and fully recover in about six weeks.
• Minimal scarring: Small incisions leave tiny, less noticeable scars.
• Reduced pain: Less invasive than open surgery, leading to lower pain levels.
• Shorter hospital stay: Many patients go home the same day or after a brief stay.
• Improved quality of life: Relief from symptoms such as heavy bleeding, pain, and discomfort.

What are the potential risks and complications?

While generally safe, laparoscopic hysterectomy carries some risks, including:

• Infection or bleeding.
• Rare damage to nearby organs like the bladder or bowel.
• Blood clots in the legs (deep vein thrombosis).
• Anaesthetic-related complications.

Your surgeon will discuss these risks in detail and advise on how to minimise them.

Recovering from laparoscopic hysterectomy

Recovery is usually quicker with laparoscopic surgery than with open surgery. Here’s what to expect:

• Post-surgery symptoms: Mild abdominal pain, bloating, or light vaginal bleeding are common and typically subside within a few days.
• Pain management: Your doctor will prescribe medication to keep you comfortable.
• Rest and movement: Avoid strenuous activities and heavy lifting for six weeks. Gentle movement, like short walks, can help prevent blood clots.
• Follow-up care: Regular check-ups will ensure your recovery is progressing as expected.

Most women can return to light activities in two weeks and feel fully recovered within six weeks.

Looking ahead: what can you expect?

A laparoscopic hysterectomy can significantly improve your quality of life by alleviating painful or disruptive symptoms. Most women recover fully and return to their normal routines within a few weeks. While the surgery eliminates menstruation and the ability to conceive, it often provides relief from the conditions that made the procedure necessary. Your doctor will discuss any potential hormonal changes, especially if your ovaries are removed, and provide guidance on managing these.

Every recovery journey is unique, and our team will work closely with you to ensure a positive outcome. By following your post-operative care plan, you can look forward to better health and a symptom-free future.