What Is It?
A Total Laparoscopic Hysterectomy (TLH) is a minimally invasive surgical procedure to remove the entire uterus, including the cervix, using small keyhole incisions in the abdomen.
This advanced technique uses a laparoscope—a thin tube with a camera—to guide the surgery, allowing for precise removal with less pain and faster recovery compared to traditional open surgery.
Is TLH Recommended?
TLH may be advised for conditions such as:
- Uterine fibroids causing pain or heavy bleeding
- Adenomyosis (thickening of the uterine wall)
- Endometrial hyperplasia or early-stage cancer
- Abnormal uterine bleeding not responding to other treatments
- Pelvic pain linked to uterine causes
- Uterine prolapse in select cases
How Is It Performed?
- Under general anaesthesia, 3-4 small incisions (usually 0.5–1 cm) are made in the lower abdomen.
- A laparoscope is inserted to provide a magnified view of the pelvic organs.
- Specialized instruments are used to carefully detach the uterus from surrounding tissues.
- The uterus is removed either through the vagina or in small pieces through the keyhole incisions.
- The incisions are closed with dissolvable stitches.
Benefits of TLH
- Minimally invasive with smaller scars
- Less postoperative pain compared to open surgery
- Shorter hospital stay—often outpatient or 1-2 days
- Faster return to daily activities
- Lower risk of infection and blood loss
- Good visualization for precise surgery
Recovery & Aftercare
- Most patients can resume light activities within 1-2 weeks.
- Full recovery typically occurs within 4-6 weeks.
- Mild pelvic discomfort or spotting may last a few weeks.
- Avoid heavy lifting or strenuous exercise during recovery.
- Follow your doctor’s advice on activity, wound care, and follow-up visits.
Risks and Considerations
While TLH is generally safe, potential risks include:
- Bleeding or infection( rare)
- Injury to bladder, bowel, or blood vessels (Very rare)
- Anaesthesia complications
- Formation of adhesions
- Rarely, need for open surgery if complications arise
We will discuss your specific risks and benefits before surgery.
Is TLH Right for You?
If you have uterine conditions causing symptoms affecting your quality of life, TLH may offer an effective solution with quicker recovery. Our team will guide you through every step and customize care for your needs.