Hysterectomy

Total Laparoscopic Hysterectomy (TLH)

In TLH, The uterus is removed entirely through the Laparoscope. The ligaments of the Uterus are released from above. The Bladder separated and the vagina opened anteriorly and posteriorly. The uterus is removed by cutting into bits. The vagina is closed from above.

Lap Assisted Vaginal Hysterectomy (LAVH)

In LAVH, the ligaments of the uterus are cut from above including sometimes the uterine vessels. The uterosacral ligaments are released from below using the force triad vessel sealing device. This device seals vessels up to 7mm and ensures a blood free field. The uterus is delivered from below and the vagina is sutured using absorbable suture material.

Vaginal Hysterectomy (VH)

The simplest form of Hysterectomy with the least morbidity is Vaginal Hysterectomy. This can be done under Regional Anaesthesia. There is no need for General Anaesthesia. The recovery is very quick as the abdomen is not penetrated with a trocar as in Laparoscopy. Also the vaginal orifice is a natural one facilitating easy removal of even huge uteri.

Laser Hysterectomy (LH)

The Laser Pelvic Surgery Institute specializes in the removal of uterus using Holmium Yag Laser. The Laser Beam can be used in both vaginal as well as in Laparoscopic techniques. The Laser beam cuts seamlessly through tissues and helps in quick healing with minimal blood loss. Adhesion formation is less compared to other surgical techniques. Post operative pain is kept to a minimum and recuperation is very early.

Supra Cervical Hysterectomy (SCH)

In this type of Hysterectomy, the mouth of the uterus, the cervix is retained and the body of the uterus alone is removed. This is an easier procedure to perform than TLH or Vaginal Hysterectomy where a big uterus is involved. SCH in some studies was found to have better outcomes on sexual health.

Uterus Anatomy -Dr Karthik
Anatomy of Uterus

Total Laproscopic Hysterectomy
Total Laparoscopic Hysterectomy