Laparoscopic Hysterectomy

Laparoscopic hysterecomy uses a small laparoscope to perform a hysterectomy and remove the uterus and other pelvic organs.

Laparoscopic hysterectomy requires smaller incisions than a traditional hysterectomy so it is considered less invasive, provides a faster recovery time and results in minimal scarring.

A laparoscope is a small, thin tube that acts like a video camera that allows the surgeon to see inside the body. It also has small knives and other tools to remove abnormal tissue. The laparoscope and other tools are inserted through 3-4 small incisions, each less than a 1/4 long. The surgeon is able to removes the uterus through one of the openings.

In a laparoscopic supracervical hysterectomy (LSH), the surgeon leaves the cervix intact. The cervix connects the upper portion of the vagina to the uterus. The ligaments attached to the cervix provide support for both organs. For this reason, many gynecologists feel that leaving the cervix in place is important to maintain good pelvic floor support.

One of the most common pelvic floor support problems is pelvic organ prolapse, a condition in which organs in the pelvic region drop out of their normal position (prolapse). Prolapse can be uncomfortable both physically and emotionally, causing women to limit their movements because of pain, urinate more frequently and avoid sex.

In addition, some research suggests the cervix may play a role in sexual arousal and the ability to achieve orgasm in some women.

Keeping the cervix means you may still experience some periodic bleeding. Like women who have not had a hysterectomy, you should continue to have an annual Pap smear to screen for cervical cancer.

Most women are candidates for laparoscopic hysterectomy when considering a hysterectomy for nonmalignant diagnoses Patients not generally considered optimal candidates for LSH are women with history of cervical dysplasia or endometriosis near the cervix. Additionally, if the uterus is very large due to fibroids, it may not be possible to perform this type of hysterectomy

All medical procedures present risks, so remember to talk to a doctor before making a treatment decision. As with all types of hysterectomy, there’s a risk of potential blood loss, infection and damage to other internal organs.

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Last updated: 1/8/2019