Laparoscopic Hysterectomy

What Is Hysterectomy?

Hysterectomy is the surgical removal of part or the entire uterus. It is the second most common major surgery among women of child-bearing age. Hysterectomy may be done to treat conditions that affect the uterus. Some reasons a hysterectomy may be needed include:

  • Uterine fibroids
  • Endometriosis
  • Pelvic support problems (such as uterine prolapse)
  • Abnormal uterine bleeding
  • Cancer
  • Chronic pelvic pain

Laparoscopic hysterectomy (or minimally invasive hysterectomy) is done through small incisions in the abdomen. The uterus is removed in small pieces through these incisions. Laparoscopic hysterectomy has a shorter recovery time than abdominal or vaginal hysterectomy.

A hysterectomy does not include removal of the ovaries and fallopian tubes. When these organs are removed at the same time as the uterus and cervix, it is called a salpingo-oophorectomy.

Actual Total Laparoscopic Hysterectomy Surgery

This video shows a total laparoscopic hysterectomy surgery performed and narrated by Kurian Thott, MD. The 42 year old patient had an enlarged uterus, multiple fibroids, and heavy menstrual cycles. This video is of an actual surgery, viewer discretion is advised.

Differences between an abdominal hysterectomy and laparoscopic hysterectomy:

  • A standard hysterectomy requires a 4-8″ incision in the abdomen, as opposed to only a 1/4 – 1/2″ incision for a laparoscopic hysterectomy.
  • Recovery is faster with a laparoscopic hysterectomy – about half the time of an abdonimal hysterectomy
  • Less blood less
  • Less pain