Laparoscopic hysterectomy is the surgical removal of the uterus, which was previously performed via a large incision in the abdominal wall. Hysterectomies are performed for a wide variety of reasons but with new laparoscopic technological advances the discomfort, risk of infection and recovery time have all been decreased.
There are many surgical approaches to hysterectomies. These include:
Open traditional hysterectomy involving a 15-30cm incision made in the abdominal wall.
Vaginal hysterectomy, which involves removing the uterus through the vagina. This approach is better than open traditional hysterectomy but still does not allow the surgeon a full view of the surrounding organs, including the bladder.
Laparoscopic-assisted vaginal hysterectomy in which a portion of the operation is completed with the laparoscope intra abdominally and the remainder is done transvaginally.
Total laparoscopic hysterectomy, when the entire operation is performed using the laparoscope and the surgical specimen is removed via the vagina.
Benefits of laparoscopic surgeries:
- Significantly less pain
- Less blood loss
- Fewer complications
- Less scarring
- Shorter hospital stay
- Faster return to normal daily activities
- Decreased risk of infection
The procedure is indicated for patients suffering from dysfunctional uterine bleeding, endometriosis, fibroid uterus and endometrial cancer.
The acceptance of laparoscopic surgery in gynaecology is growing significantly and could be used for up to 80 per cent of traditional procedures.
Laparoscopic surgery is available at the University Medical Center – King Abdullah Medical City where Dr Seena Al Mansoori, MBBCH, ABOG, and Dr Farah Al Nuaimy are both consultants in obstetrics and gynaecology.