Laparoscopic Hysterectomy At Srujan Maternity & Nursing Home, Pune

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Laparoscopic Hysterectomy

Laparoscopic hysterectomy is a minimally invasive surgical procedure that involves the removal of the uterus through small incisions in the abdomen. Laparoscopy makes use of thin, tubular instruments and a camera to visualize and remove the uterus without having to make large abdominal incisions. It is often used as an alternative to conventional abdominal hysterectomy, which requires a larger incision in the abdomen. Laparoscopic hysterectomy can be performed either to treat gynecological issues or for elective reasons.

Why is a Laparoscopic Hysterectomy Performed?

Laparoscopic hysterectomy is performed for the following reasons:

  • treat abnormal uterine bleeding,
  • uterine fibroids,
  • endometriosis,
  • pelvic pain,
  • adenomyosis, and
  • benign ovarian tumors.

In some cases, a laparoscopic hysterectomy may be performed for elective reasons such as a woman choosing to remove her uterus due to personal preference. A laparoscopic hysterectomy may also be performed with other forms of surgery, such as tubal ligation or oophorectomy. Women should consult a doctor to determine if laparoscopic hysterectomy is a suitable treatment option as it may not be recommended in certain cases.

The main benefits of laparoscopic hysterectomy are:

  1. Reduced risk of infection, scarring, and pain during recovery compared to open surgery.
  2. Shorter hospital stay of 1-2 days as opposed to 3-4 for open surgery.
  3. A faster return to normal daily activities.
  4. Improved visualization of the abdominal organs due to the use of a camera during surgery.
  5. Reduced risk of organ damage compared to open surgery.
  6. Minimal blood loss, as smaller incisions are made and no large tissue is removed from the body during this procedure.

Types of Laparoscopic Hysterectomy

There are three types of laparoscopic hysterectomy:

  1. Total Laparoscopic Hysterectomy: The entire uterus and cervix are removed.
  2. Laparoscopic Supracervical Hysterectomy (LASH): Only the upper part of the uterus is removed, leaving the cervix intact.
  3. Robotic-Assisted Laparoscopic Hysterectomy: The doctor performs this procedure with a robotic system that allows them to operate with greater precision.

In all types of laparoscopic hysterectomies, the fallopian tubes and ovaries may also be removed if necessary.

Laparoscopic Hysterectomy Surgery Preparation

Before the Procedure: Dr. Manisha Risbud will discuss the procedure with you and answer any questions or concerns you may have. The doctor may perform several tests to ensure you are fit and healthy enough for surgery. The doctor may also take a medical and family history, conduct a physical examination, and order blood tests or imaging studies. You will be asked to sign a consent form that outlines the risks and benefits of the surgery.

The Day of Surgery: On the day of the procedure, you will need to fast for several hours prior. You should remove any jewelry or other metal objects from your body before being taken into the operating room. The doctor may give you medication to make you feel relaxed and pain-free during the procedure.

During the Procedure: The doctor will make small incisions in your abdomen and insert thin instruments, such as scissors or forceps, through them. The doctor will then use a camera to visualize the uterus and other organs that need removal. Once the uterus has been detached from the surrounding tissue, it is carefully removed through the incisions and sent to the pathology lab for evaluation.

After the Procedure: After surgery, you will be taken to a recovery room where you will be monitored until your vital signs have stabilized. Pain medications may be prescribed to help manage any discomfort or pain after surgery. You may also experience some bleeding and cramping for up to two weeks after the procedure.

Post-Surgical Care Instructions: After the procedure, Dr. Manisha Risbud will provide instructions for postoperative care. This may include taking medications for pain relief, wearing a supportive bandage or garment, performing light exercises or physical therapy, and following up with your doctor for regular checkups.

Recovery After Laparoscopic Hysterectomy

The hospital stay for laparoscopic hysterectomy is usually shorter than that of a traditional abdominal procedure. Most patients are able to go home the same day or within 24 hours after surgery. While recovery times vary, most women are able to return to work within two weeks and can resume full activity levels within six weeks.

Recovery after a laparoscopic hysterectomy varies from person to person. Most women can expect to return home within a few days of the procedure and continue their recovery at home. In general, patients can expect some minor pain and discomfort in the days following surgery. This is normal and will usually resolve within a few days with the help of prescribed pain medications.

Patients should follow their doctor’s instructions regarding physical activity, as too much exercise could prolong or worsen healing. They may also need to use a heating pad on the abdomen for cramping and soreness. Many patients are able to resume light activities, such as walking and light housework, within a few days of surgery.

Women should also be aware that they may experience some irregular bleeding and/or spotting for up to six weeks after the procedure. This is normal and should resolve on its own. If irregular bleeding or spotting persists beyond this time period, you should contact Dr. Manisha Risbud immediately.

It is also important to note that many women experience some emotional and psychological side effects following a laparoscopic hysterectomy. These can include feelings of sadness, anxiety, or loss of identity. If you are experiencing any of these symptoms, it is important to talk to your doctor or seek counseling.

Risks and Complications Associated with Laparoscopic Hysterectomy

Laparoscopic hysterectomy is considered to be a safe and effective procedure, but like all surgical interventions, it carries some potential risks and complications. Complications are rare but can include:

  • bleeding, which may require a blood transfusion
  • infection, either in the abdominal region or urinary tract
  • nerve damage, which can lead to pain and numbness in the lower extremities
  • injury to organs near the uterus, such as the bladder or intestines.

Other complications that have been reported include:

  • damage to the cervix or vagina, which can affect sexual function
  • formation of scar tissue in the abdomen
  • post-operative pain and discomfort
  • risk of developing a hernia

In rare cases, laparoscopic hysterectomy can lead to life-threatening complications such as sepsis, a serious infection of the bloodstream.

Dr. Manisha Risbud will discuss these risks and any potential complications prior to the procedure. It is important to ask questions about anything related to laparoscopic hysterectomy that you may be unsure of or uncomfortable with.

At Srujan Maternity & Nursing Home in Pune, we understand the potential risks associated with laparoscopic hysterectomies and strive to reduce them through advanced surgical techniques, equipment, and medications. Our team of highly experienced surgeons has a successful track record when it comes to performing these procedures.

If you would like more information or would like to discuss any of your concerns, please do not hesitate to contact us and schedule an appointment. We are committed to providing our patients with the safest care possible.

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