Patient Information

Total laparoscopic hysterectomy (TLH)


What is TLH and how it is done?

TLH is a gynaec operative procedure where uterus with cervix amd b/l tube with or without ovaries removed through abdominal puncture hole incision of one 10 mm and 2-3 holes of 5 mm,using laparoscopic hand instruments and electrosurgery/ ultrasonic energy sources. No cutting open of abdomen is required as in traditional open hysterectomy.

What size of uterus can be removed through laparoscopy?

Any size of uterus can be removed however big it is as long as it is mobile and there is working space for the laproscopic instruments to operate.Size of uterus doesn’t matter with the advent of morcellation technique.

How it is superior to traditional open hysterectomy?

TLH would replace traditional open hysterectomy in near future for benign uterine diseases. As it is patient friendly, no abdominal incision, minimal to moderate post operative pain, faster recovery and early return to work ,lesser hospital stay, can be discharged within 48 – 72 hrs generally.

Laparoscopy for endometriosis and ovarian cyst


How laparoscopy is superior to open technique in endometriosis and ovarian cyst?

Laparoscopy is GOLD STANDARD for the diagnosis and treatment of endometriosis. It is a more sensitive and specific modality in diagnosing early endometriosis lesions and treating accordingly due to the help of direct visualisation of lesions with magnification.

And pnemoperitoneum infact helps in creating planes for surgical dissection, lesser chances of adhesion formation post operatively, no abdominal incision, minimal to moderate post operative pain, faster recovery and early return to work ,lesser hospital stay, can be discharged within 48 – 72 hrs generally.

Laparoscopic myomectomy


What is Laparoscopic myomectomy how it is done?

It is a gyaec procedure where benign uterine tumor / fibroid is removed from uterus laparoscopically through abdominal puncture hole incision of two 10 mm and 2-3 holes of 5 mm,using laparoscopic hand instruments and electrosurgery/ ultrasonic energy sources. No cutting open of abdomen is required as in traditional open myomectomy.

What are advantages of laparoscopic myomectomy over open myomectomy?

No abdominal incision, minimal to moderate post operative pain, faster recovery and early return to work ,lesser hospital stay, can be discharged within 48 – 72 hrs generally. Lesser chances of adhesions., no significant difference in myomectomy scar integrity in future pregnancies.

Hysteroscopy


What is hysteroscopy and how hysteroscopy is done?

Hysteroscopy is a gynaec procedure in which a camera mounted scope is introduced into cervical canal using normal saline as distending medium to visualise whole of uterie cavity and tubal ostia. And treat any focal pathology at the same time.

When hysteroscopy is indicated?

Abnormal uterine bleeding, failed medical therapy in uterine bleeding, Post menopausal bleeding, structural pathology of uterus on ultrasound, infertility, prior to IVF cycle, uterine anamolies, lost/missing cu –T

How hysteroscopy is superior to dilatation and curettage?

Hysteroscopy directly sees and treat the pathology like an eye in uterine cavity where as D/C is a blind procedure where it can miss focal pathology. Hysteroscopy is the proven best alternative to D/C and is the GOLD STANDARD procedure for uterine cavity pathology.

Time needed for hysteroscopy procedure?

Diagnostic procedure 20 – 30 min, operative hysteroscopy 30 – 45 min generally,actual time may vary depending on the case.

Is Anesthesia required?

Office hysteroscopy – no or local anesthesia

Diagnostic /operative hysteroscopy : regional or general anesthesia.

Post operative recovery time?

Post operative recovery is excellent ,no or minimal pelvic pain, patient can be discharged same day if everything is fine.

When can patient return to work?

She can return to work as soon as she feels better may be the very next day or in a day or two , as such no absolute bed rest is necessary.

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