What is Laparoscopic Hysterectomy Delhi?
Laparoscopic Hysterectomy Delhi is the process of removing the uterus from the body with the help of surgical procedures. There could be a number of reasons why hysterectomy is performed or even suggested to patients. Few of these reasons include irregular or heavy menstrual bleeding, chronic uterine pain, fibroids, pre-cancerous symptoms, prolapse, pelvic inflammatory disease, endometriosis, and cancer.
It is an essential procedure aimed at mitigating the pain and providing relief to the patients suffering from one or many of the factors that could lead to excessive pain and discomfort.
Hysterectomy has been statistically shown to be one of the most commonly performed procedures across the world. Hysterectomies in the vagina have been a common practice for almost two centuries now.
In the recent years, numerous gynaecologists have performed a significant portion of the hysterectomy procedure with the help of laparoscopes. The surgeries are naturally termed as laparoscopy-assisted vaginal hysterectomy. It is very similar to the total vaginal hysterectomy and has decreased healing duration and post-operative pain when compared to other types of surgical options available.
When is a Laparoscopic Hysterectomy Delhi performed?
A patient has prescribed a hysterectomy procedure when she has one or several of the following problems:
- Large uterine fibroids which cause extreme discomfort and degrade the quality of life for the
- Severe pain that is related to menopause which only subsides when medications are provided
- Chronic pelvic pain
- Blockages in the intestine or bladder which result in discomfort during
- Cancer or the uterus and the ovaries.
Different types of Laparoscopic Hysterectomy Delhi
There are different ways to achieve hysterectomy and often-times the doctor decides the type of procedure based on the level of complexity and severity of the case in question. The most common types of hysterectomy are as follows:
Supracervical Laparoscopic Hysterectomy Delhi
This procedure is focused on the removal of the portion of the uterus that lies in the region above the cervix. The fallopian tubes of the patient are generally removed during this type of surgery since they have been observed to be the primordial source of epithelial cancer of the ovaries. The procedure generally involves removing the ovaries but depending on a case by case basis, some patients are provided with the option to keep them. The Pelvic supports of the patient are left unharmed during the procedure and since there is no incision in the vaginal regions, the possibility of a vaginal bacterial infection is minimal.
This procedure is also recommended because of its outpatient approach that offers a quicker recovery time and reduced post-operative pain. The surgery can generally b completed within a span of 90 minutes although this can increase based on the complexity and severity of the case.
Total Abdominal Hysterectomy
Total abdominal hysterectomy is an open surgical procedure, it is one of the most common approaches to hysterectomy. The procedure accounts for around 63% of all the divergent types of a procedure carried out for hysterectomy. The surgeon performs this surgery by making a 6 to 8-inch incision across the belly region. Depending on the type of case, this incision can either be top to bottom or side to side. The surgeon removes the uterus of the patient with the help of this incision.
This procedure generally leaves a visible scar at the region of operation. The post-operative pain is also considerably higher in this mode of surgery when compared to the Laparoscopic procedures. It usually takes around 3 days for the patient to be dispatched from the hospital.
This type of hysterectomy can be performed with multiple methods, some of them are listed below:
- Vaginal Laparoscopic Hysterectomy Delhi:
During this procedure, an incision is made in the vagina and the uterus is removed through this incision. Once the uterus is successfully removed, the incision is closed, leaving no apparently visible scars.
- Laparoscopic-assisted Vaginal Hysterectomy:
This type of surgery is performed using a Laparoscope. A laparoscope is a long thin tube with a light-assisted camera at its tip. This helps the surgeon get a visual of the site of operation. Several small incisions are made in the patient’s body to insert laparoscopic surgical tools. These tools are used to perform the surgery with the patient’s body and remove the uterus. The surgeon utilizes the visual feedback returned by the light-assisted camera with the help of a monitor. This monitor is used to perform the surgery using the Laparoscopic tools. The Laparoscopic incisions are generally made around the belly region of the patient for this type of surgery.
- Laparoscopic Hysterectomy Delhi:
This type of surgery is performed in the vaginal region with the assistance of Laparoscopic tools that help the surgeon perform the surgery with relatively minimal invasion. It should also be noted that the recovery duration and the pain post operation is comparatively less for this type of procedure.
- Robot-assisted Laparoscopic Hysterectomy Delhi :
This surgery is quite similar to the Laparoscopic Hysterectomy Delhi with the only difference being the sophisticated instruments utilised in this procedure. The surgeon has access to a range of robotic tools which can perform the surgery with pinpoint precision and without the fear of damaging nearby organs. Advancement in technologies has provided the surgeons with the ability to use natural wrist movements as inputs to these complicated robotic systems which are then replicated by the robot to perform the surgery through the tiny incisions.
This surgery removes the cervix, the uterus, the upper regions of the vagina and the supporting tissues. This is generally not advised to patients unless it is the only option. In certain cases of cancer, a Radical Hysterectomy is essential to ensure the week being of the patient. often cases, the fallopian tubes and the ovaries of the patient are also removed in this surgery.
Total Laparoscopic Hysterectomy
This surgical procedure is comparatively less invasive than most of the other procedures in the list. It provides the women suffering from gynecological cancers and severe pain a chance to live a normal life.
Total Laparoscopic Hysterectomy Delhiutilizes the advancements in the field of Laparoscopy to offer a surgical procedure that is quick, easier, efficient and less painful than the rest of the procedures available. During this procedure, the surgeon inserts a long, slender, fiber-optic cable into the abdomen of the patient. This tube is equipped with a miniature camera which that helps the doctor see inside the abdomen and analyse the uterus, fallopian tubes, and the ovaries without making bigger incisions that would ultimately result in added pain during the recovery period.
Several incisions are made in the abdomen to insert the surgical tools to aid the surgeons. These incisions are very tiny and are around half an inch in length, this is comparatively smaller than the five or six-inch incisions that are performed during open surgeries. Hence this type of Laparoscopic minimally invasive surgeries. The surgery is performed with the help of a video screen that is used to help the surgeon understand the situation inside the patient’s body and perform the surgery appropriately.
The surgeon removes the uterus from the incisions and in cases where the size of the incision is not sufficient, the existing incision is enlarged to proportions that are adequate to squeeze the uterus through it. The biggest advantages of this type of procedure include the duration of surgery which is under 2 hours and the low postoperative pain involved. The patient also experiences minimal scarring and generally recovers way faster than she would during a convention open hysterectomy procedure.
Benefits of Total Laparoscopic Hysterectomy Delhi
To convey the advantages of Total Laparoscopic Hysterectomy in a better way, we have formulated a list that will help you understand why it is better than the conventional approaches:
- Less Surgical Complications
The Total Laparoscopic Hysterectomy also helps the patient enjoy the benefits of reduced complications as there is very minimal blood loss which in turn leads to a minimal chance of infection and decreased adhesion formation post the surgery.
- Short duration of Stay in the Hospital
The duration of stay is one of the most important factors a patient considers while undergoing an operation since they mostly want to get back home and to their normal lives as quickly as they can once the operation is over. TLH comes as a relief to those who want a quicker and shorter stay at the hospital as the duration of stay is minimal.
Patients of TLH often report quicker recovery times when compared to the conventional surgical methods mainly due to the use of the laparoscopic procedure that ensures that there is minimal incision points, thereby leading to an accelerated healing time.
- Prevents uterine cancer in future
TLH is also effective in preventing the possibility of a uterine cancer in the future which is a considerably huge benefit especially if the patient has a hereditary line of ancestors affected with uterine cancers.
Since the incision is minimal, the surgery also involves relatively minimal scarring. This method of operation also has a great track record of being very successful.
M-4, SCI INTERNATIONAL HOSPITAL, GREATER KAILASH-1, NEW DELHI