Total laparoscopic hysterectomy is the surgical procedure used to remove a woman’s uterus. Conditions like fibroids in uterus, cancer of uterus, ovaries, cervix, uterine prolapsed, and endometriosis, pelvic pain, vaginal bleeding etc are some of the causes which necessitate the removal of uterus.
Depending upon the circumstances that lead to hysterectomy, surgeons may remove either a part or whole of the uterus. In some cases along with uterus surgeon may remove the fallopian tubes and the ovaries. So it is better to have a clear understanding of the underlying causes when you are approaching a surgery for the removal of uterus or its connected parts.
Ovaries are the almond sized small organs in women which produce the eggs during the menstrual cycle. These eggs are carried away from the ovaries to the uterus through a tract known as fallopian tubes. These eggs if they meet sperm while they are in the fallopian tube get fertilized. The embryo so formed is transported to the uterus where it gets implanted and continues the growing process.
Hysterectomy procedure is usually carried out in two procedures. One is the traditional open surgery and the other is the minimally invasive procedure also known as laparoscopic procedure.
In laparoscopic procedures three or four small incisions of the size 1 to 2 are only needed as against a long incision of the size 6 to 8 inches needed in the open surgery. A laparoscope is inserted through one of these incisions and through the other incisions the special instruments for carrying out the surgical procedure are inserted. With the help of the laparoscope the surgeon views the videos of the internal organs and the surgery being carried out and performs the surgery by controlling the instruments with the help of their controls available near him.
Preparation for surgery
In your pre operative check up, the patient will be examined by a surgeon and anesthesia and they will evaluate the patients general health and his aversion to anesthesia, if any. Smoking will have to be stopped medications that he patient is now taking has to be modified as per the suggestions of the suregeon. Bowel preparation will be carried out on the previous day. The patient is not expected to eat or drink anything for eight hours prior to the scheduled time of the surgery. Have a shower on the day of surgery and do not use any make up or cosmetics.
General anesthesia or spinal anesthesia will be given depending upon the health condition of the patient. Carbon dioxide gas will be filled in the abdomen of the patient to inflate it so that more room will be available for the surgical procedure and the internal organs can be clearly seen in the video. By viewing the internal parts and the surgery in the monitor the surgeon performs the surgery controlling the controls of the instruments near him.