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What is a total laparoscopic hysterectomy?

Laparoscopic hysterectomy is a keyhole procedure to remove the uterus and cervix (total laparoscopic hysterectomy) or uterus, leaving the cervix in place (subtotal laparoscopic / supracervical hysterectomy).

Laparoscopic hysterectomy is done through tiny cuts in the abdomen, using tiny, advanced surgical instruments. This has several advantages compared to traditional abdominal

What are the advantages of a laparoscopic hysterectomy?

Laparoscopic hysterectomy uses small cuts on the abdomen, minimising trauma, and therefore post-operative pain. Recovery from laparoscopic surgery is much quicker, with most patients discharged within 24-48 hours following the operation. The recovery period at home is also much quicker with return to normal activities in a much shorter time.

The magnification provided by the laparoscopy camera gives much better views of the pelvic structures, ensuring cleaner cuts, much less blood loss and much lower post operation infection risks.

The small 0.5 – 1 cm cuts have a much better cosmetic appearance compared to a 10 cm cut required for abdominal hysterectomy.hysterectomy.

Is this procedure safe?

Particularly good research evidence confirms that laparoscopic hysterectomy is safe and effective. It has added benefits compared to abdominal hysterectomy including:

  • Less post-operative pain
  • Shorter hospital stays (1-2 days compared to 3-4 days with abdominal hysterectomy)
  • Quicker recovery
  • Lower complication risks (less blood loss, lower infection risk etc)
  • Better cosmetic appearance of abdomen after surgery

Our expert laparoscopic surgeon is one of a few in the region performing this procedure with excellent results.

What conditions require this type of surgery?

The common indications for hysterectomy include:

  • Heavy periods (where other simpler treatments have failed)
  • Fibroids
  • Endometriosis
  • Chronic pelvic inflammation
  • Prolapse
  • Cancer of the uterus, cervix or ovary
  • Precancerous changes of cervix or uterus

What should I expect after laparoscopic hysterectomy surgery?

  • Patients can drink and have a light meal a few hours after surgery
  • Most patients require paracetamol only at discharge home as there is only some mild pain
  • The bladder catheter comes out a few hours after operation
  • Patients can walk soon after surgery
  • Patients usually discharged within 24hours
  • Patients usually resume their normal activity (working, driving, flying) within two weeks after surgery.

For more information about how we can help you, read more here at the Well Woman Package.


David Ogutu

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