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Dr.Niraj Mahajan
Dr.Niraj Mahajan
Dr.Niraj Mahajan

LAPAROSCOPIC HYSTERECTOMY

A hysterectomy is a surgical removal of the uterus. In a laparoscopic hysterectomy, as the name suggests, a laparoscope is used for surgery. It is a minimally invasive surgery, with only two or three incisions made in the abdominal region.

Advantages

  • Eliminates the risk of Ovarian Cancer
  • Good option for women with a family who wish to have sex without any chance of pregnancy

Length

  • The procedure may last for between one to two hours

Causes

Hysterectomies are generally performed to treat

  • Uterine fibroids
  • Heavy bleeding
  • Endometriosis
  • Adenomyosis
  • Uterine prolapse
  • Uterine cancer

Diagnosis

  • A hysterectomy is recommended only after the condition is identified and conventional treatment has failed to bring results.
  • The uterine structure can be observed via various imaging techniques like MRI Scans, Doppler imaging, etc.
  • A biopsy of the uterine tissue may be done to diagnose cancer.

Symptoms

A medical examination is advised when the patient feels one or more of the following symptoms

  • Excessive abdominal pain
  • Excessive bleeding during menstrual cycle

Preparation

Certain medications are to be specifically avoided pre surgery

  • Pre operative antibiotics.
  • Avoid wearing any jewelry.
  • Void the bladder regularly.
  • Avoid post operative prophylactic antibiotics.

Procedure

In Laparoscopic hysterectomy, small keyhole incisions are made in the abdomen and/or navel for introducing the Laparoscope into the body. The laparoscope is a long, flexible tube that has miniature surgical instruments attached to its head, along with a camera and light source.This instrument is inserted into the body and the surgery is performed by the surgeon via a controller.The images are transmitted to the screen, via which the surgeon can perform the procedure.The recovery period is minimal for this procedure, and the patient might even get a discharge the very next day.The surgery is performed under general anesthesia.

Follow up

Patients are required to follow up with their physician for up to 4-6 weeks post surgery. In the following cases, consult your physician immediately:

  • Abnormal vaginal bleeding
  • Chest pain, coughing, difficulty in breathing
  • Painful urination

Laparoscopic hysterectomy is a minimally invasive method, and is more widely recommended than a vaginal hysterectomy. The recovery is faster, and the lifestyle after surgery is also minimally affected.

"Authored By Dr.Niraj Mahajan"

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Dr. Niraj Mahajan

MD- Gynecologist, Laparoscopic Surgeon, Uro-gynecologist , Infertility specialist & Cosmetic Gynecologist.

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