Total Laparoscopic Hysterectomy (TLH)
TLH is a minimally invasive surgery to remove the uterus and cervix through four small abdominal incisions. Ovaries and fallopian tubes may also be removed, depending on the condition.
Indications for TLH
- Uterine diseases (e.g., fibroids, endometriosis)
- Pelvic pain or infections
- Abnormal vaginal bleeding
- Overgrowth of uterine lining tissue
Pre-Surgery Preparation
- Full physical exam, blood tests, and imaging.
- Inform your doctor about all medications, including over-the-counter drugs and supplements.
- Stop blood-thinning medications as advised.
- Avoid food and drink 6–12 hours before surgery.
Procedure Highlights
- General or spinal anesthesia is administered.
- Tubes are placed for breathing, stomach content removal, and urine drainage.
- Compression stockings are used to prevent blood clots.
Recovery
- Stay in recovery and observation for 23 hours.
- Gradual return to a normal diet.
- Common post-op symptoms: cramping, bloating, shoulder pain, or a sore throat.
- Pain management and early walking encouraged.
