Total Laparoscopic Hysterectomy

The less technical difficulty, less trauma, and a shorter operating time have all been linked to laparoscopic hysterectomy (LH). There is a small risk of cervical cancer if the cervix is retained, and a small percentage of these women continue to experience cyclical bleeding beyond menopause. According to a retrospective study, the cervical stump is the site of origin for 2% of all cases of cervical cancer. At 5 years of follow-up, a prospective cohort study of 70 patients receiving LH mostly for endometriosis and pelvic pain discovered that 23% needed additional surgical treatment due to persistent vaginal bleeding or pelvic pain. Additionally, compared to laparoscopic hysterectomy, an open hysterectomy had greater readmission rates, according to a prospective, randomized trial. There were no significant statistical differences in complications, symptom alleviation, or activity limits in this small study. Sexual function, urinary tract symptoms, and bowel symptoms were not significantly different between total and subtotal abdominal hysterectomies in three randomized, controlled trials. Among patients who underwent a total and subtotal hysterectomy, a recent study with a mean follow-up of 9 years found no significant differences in the incidence of pelvic organ prolapse or other outcomes.

What is Laparoscopic Hysterectomy

Under general anesthesia, a laparoscopic hysterectomy is a keyhole procedure used to remove the womb (uterus). To treat or relieve a variety of gynecological issues, it is a popular surgical treatment that may also involve the removal of the fallopian tubes, ovaries, and cervix.