Laparoscopic Hysterectomy

 

During a laparoscopic hysterectomy, your surgeon will perform any type of hysterectomy using a laparoscope, camera, and other surgical instruments that are inserted through several incisions around the abdomen. The laparoscope helps the surgeon see inside your abdomen.

During your laparoscopic surgery, you will be under general anesthesia. The length of the surgery will depend on your condition and your surgeon’s skill level, but it may range from 2 to 4 hours.¹

Your uterus will be removed in small pieces through the incisions in your abdomen or through your vagina (Learn more about Laparoscopic Assisted Vaginal Hysterectomy). Your surgeon may also remove your cervix, fallopian tubes and/or ovaries at the same time.

You will be left with several visible scars on your abdomen.

Benefits of Laparoscopic Hysterectomy

When a Hidden Scar hysterectomy is not recommended, surgeons recommend a laparoscopic hysterectomy. For example, if you have pelvic adhesive disease, pelvic infection or have had earlier extensive abdominal surgery, a laparoscopic approach may be the best option for you.²

When comparing laparoscopic hysterectomy to abdominal hysterectomy:

  • Less average blood loss¹
  • Shorter hospital stay¹
  • Smaller scars

Risks of Laparoscopic Hysterectomy

A laparoscopic approach is often called a “minimally invasive” approach, and there is a lot of buzz around these types of surgeries. However, these approaches require surgeons to go through a lot of training, are very costly, and the outcomes are varied. As a result, these procedures are not available in every hospital, and a woman is left with several scars on her stomach.

When comparing laparoscopic hysterectomy to Hidden Scar hysterectomy:

  • Longer operating time¹
  • Higher risk for complications and reoperation²
  • Higher costs¹
  • Several abdominal incisions will leave visible scars on the abdomen and increase your risk for wound infection²

When comparing laparoscopic hysterectomy to abdominal hysterectomy:

  • Higher costs¹

Preparing for Hysterectomy

To best prepare for hysterectomy, you should do a lot of research to determine which treatment is right for you. Learn more.

Recovery from Hysterectomy

It’s important to prepare for your hysterectomy recovery. Learn more.

Life after Hysterectomy

Many women wonder what life will be like or after hysterectomy surgery. Learn more.

References

  1. Safety in gynecologic surgery: A roundtable discussion, OBG Management Supplement, Lonky, Gebhart, Kho, Munro, October 2015, obgmanagement.com
  2. Wright K, et al. Costs and Outcomes of Abdominal, Vaginal, Laparoscopic and Robotic Hysterectomies. JSLS (2012) 16:519-524
  3. http://www.hopkinsmedicine.org/healthlibrary/test_procedures/gynecology/robotic_hysterectomy_135,12/ (surgery time)
  4. https://thrive.kaiserpermanente.org/care-near-you/northern-california/eastbay/departments/laparoscopy/ob-gyn/laparoscopic-hysterectomy/

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