Total Laparoscopic Hysterectomy (TLH)

A Total Laparoscopic Hysterectomy (TLH) is a minimally invasive surgical procedure performed to remove the uterus and cervix. It is indicated for various gynaecological conditions, including symptomatic fibroids, adenomyosis, severe endometriosis, uterine prolapse, or specific gynaecological malignancies, depending on individual clinical evaluation.

During the procedure, small keyhole incisions are made in the abdomen through which a laparoscope and surgical instruments are inserted to visualize and mobilize the pelvic structures. The blood vessels and supporting ligaments of the uterus and cervix are divided, and the uterine tissue is extracted vaginally or through laparoscopic tissue retrieval techniques. Removal of the ovaries and fallopian tubes (salpingo-oophorectomy) is evaluated separately based on clinical indications.

Compared to open abdominal hysterectomy, laparoscopic approaches generally utilize smaller abdominal incisions. Length of hospital stay, post-operative recovery duration, and pain management requirements depend on individual patient health, surgical complexity, and overall recovery progression.

At Dr. Abdul Basith’s practice, total laparoscopic hysterectomy is evaluated and performed in accordance with standard surgical guidelines. Pre-operative discussions cover procedural indications, surgical risks, recovery timelines, and post-operative management options.