January 20, 2021

Laparoscopic Hysterectomy

Laparoscopic Hysterectomy means removal of the uterus with the aid of the laparoscope. A laparoscope is a camera ½ inch in diameter that is placed through the belly button. This camera allows the surgeon to see the entire abdomen and pelvis.

Instruments are then inserted through ¼ incisions on the sides of the abdomen. These instruments are moved by the surgeon’s hands to remove the uterus.

Hysterectomy was done in the past through a large incision in the abdomen or through a vaginal incision. Both of those approaches lead to a much longer hospital stay and recovery time. Now instead of a two to three night hospital stay and a six week recovery time with an abdominal hysterectomy, it is an overnight stay in the hospital with a two week recovery time with a laparoscopic hysterectomy.

There are two types of laparoscopic hysterectomy: (1) total laparoscopic hysterectomy and (2) laparoscopic supracervical hysterectomy.

The uterus consists of the cervix and the body of the uterus. The cervix is the junction between the vagina and the body of the uterus. The cervix is responsible for holding in a baby during pregnancy. The cervix is also responsible for support in both the pelvis and the top of the vagina. The cervix is attached to the bladder and rectum and supports these structures so that prolapse, (“things falling out”) does not happen.

The body of the uterus is where a pregnancy is implanted and grows into a baby. It is also the part of the uterus that bleeds during a period, causes pain, and grows fibroids.

The cutting edge of laparoscopic technology is an instrument called the da Vinci robot. The da Vinci robot is a sophisticated piece of technology that enables an operation to be even more delicate than normal laparoscopic surgery. (Read more on da Vinci Robot Hysterectomy.)