Dr Vidushi Mehta

Total Laparoscopic Hysterotomy


Total laparoscopic hysterectomy (TLH) is a minimally invasive surgical procedure used to remove the uterus and, in some cases, the cervix, ovaries, and fallopian tubes. This procedure is performed entirely through small incisions in the abdomen using a laparoscope, a thin, flexible tube with a camera and light attached. Total laparoscopic hysterectomy offers numerous benefits over traditional open surgery, including less postoperative pain, faster recovery times, and reduced risk of complications. At our clinic in Indore, we offer total laparoscopic hysterectomy as a safe and effective treatment option for women requiring removal of the uterus.


During a total laparoscopic hysterectomy, the surgeon makes several small incisions in the abdomen and inserts specialized instruments, including a laparoscope, to visualize the pelvic organs and perform the surgery. The uterus is carefully detached from surrounding tissues and blood vessels using laparoscopic techniques, and the fallopian tubes and ovaries may also be removed if indicated. Once the uterus and any additional structures have been completely mobilized, they are removed through one of the small incisions, and the incisions are closed with sutures or surgical staples. Total laparoscopic hysterectomy is typically performed under general anesthesia and may require an overnight hospital stay for observation.


Benefits of Total Laparoscopic Hysterectomy:

  • Minimally Invasive: Total laparoscopic hysterectomy is performed entirely through small incisions in the abdomen, resulting in less postoperative pain, smaller scars, and faster recovery times compared to traditional open surgery.
  • Reduced Blood Loss: The use of laparoscopic techniques allows for better visualization and control of blood vessels, leading to reduced blood loss during the procedure.
  • Shorter Hospital Stay: Many women who undergo total laparoscopic hysterectomy can return home the same day or the day after surgery, leading to shorter hospital stays and quicker return to normal activities.
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Our Approach

At our clinic, we understand the impact that gynecologic conditions requiring hysterectomy can have on a woman’s quality of life. Our team of experienced gynecologic surgeons and healthcare professionals is dedicated to providing compassionate care and personalized treatment options to meet the unique needs of each patient. We will work closely with you to determine if total laparoscopic hysterectomy is the right treatment option for your individual condition and develop a comprehensive treatment plan tailored to your specific needs and preferences.

Frequently asked questions

Total laparoscopic hysterectomy can be used to treat various gynecologic conditions requiring removal of the uterus, including uterine fibroids, adenomyosis, endometriosis, and certain types of cancer.

Recovery times vary depending on factors such as the patient’s overall health, the complexity of the surgery, and any underlying medical conditions. Most women can resume normal activities within a few weeks after surgery, although strenuous activities should be avoided for several weeks.

Total laparoscopic hysterectomy involves removal of the uterus, but the ovaries may or may not be removed depending on the patient’s individual circumstances. If the ovaries are preserved, menopause will not occur immediately after surgery, although it may occur earlier than expected due to the natural aging process.

Total laparoscopic hysterectomy is generally considered safe, and most women experience significant improvement in symptoms and quality of life after surgery. However, as with any surgical procedure, there are potential risks and complications, including infection, bleeding, injury to surrounding organs, and adverse reactions to anesthesia. Your surgeon will discuss these risks with you before the procedure and take steps to minimize them.