Total laparoscopic hysterectomy is removal of the uterus and cervix, all laparoscopically. Removal of the cervix is recommended for women who have had dysplasia or pre-cancer of the cervix in the past. When the cervix is removed with the body of the uterus, the precancerous cells cannot come back in the cervix. Removal of the cervix is sometimes recommended for women who have endometriosis or painful intercourse, as the cervix can be the source of pain. To remove the uterus and cervix laparoscopically, the uterus and cervix are detached from their anchors in the abdomen and pelvis. A vaginal incision is then made from the inside of the abdomen, the uterus and cervix are removed. The vaginal incision is closed laparoscopically.
No actual vaginal surgery is required, the entire surgery is done laparoscopically.
