|Laparoscopic Hysterectomy 1|
|Laparoscopic Hysterectomy 2|
|Laparoscopic Hysterectomy 3|
A laparoscopic hysterectomy requires only a few small incisions, compared to a traditional abdominal hysterectomy which is done through a 5-6 inch incision. As a result, there is less blood loss, less scarring, and less post-operative pain. A laparoscopic hysterectomy is usually done as an outpatient procedure whereas a traditional hysterectomy usually requires a 2-3 day hospital stay. The recovery period for this laparoscopic procedure is 1-2 weeks, compared with 4-6 weeks after a traditional hysterectomy.
The risks of blood loss and infection are lower with laparoscopic hysterectomy than with abdominal hysterectomy. In experienced hands, laparoscopic hysterectomy takes about the same length of time as abdominal hysterectomy and involves no greater risk.
Most patients who are having a hysterectomy to treat abnormal uterine bleeding or fibroids can have a laparoscopic hysterectomy. It may not be possible in some cases. For example, if the uterus is bigger than a 4 month pregnancy, if the patient is very heavy or if she’s had multiple previous operations in her lower abdomen. It is usually NOT done for women with a gynecologic cancer.
The surgeon may have the patient see a primary care doctor prior to surgery to make sure there are no medical conditions that may cause a problem with the surgery. There will be a pre-op appointment prior to the day of surgery that will include a history and physical examination, possible blood samples, possible EKG, and a visit with a member of anesthesia department. Patients should not eat or drink anything after midnight on the night before surgery.
Patients are put to sleep under general anesthesia.
85% of our patients go home the same day as their surgery
Patients should expect to take ibuprofen or narcotic pain pills for a few days post-operatively. We encourage patients NOT to stay in bed. They should move around the house and resume normal activities as soon as they feel up to it. Some women are well enough to return to work one week after surgery. Women who have more physically demanding work should stay home for 2-3 weeks. Women can resume exercise and sex within a few weeks of the surgery.
Laparoscopic patients can expect to suffer less post-operative pain that traditional hysterectomy or cesarean section patients.