Hysterectomy

When is a Hysterectomy Performed?

A hysterectomy is the surgical removal of the uterus, and it can be performed for different reasons, including:

• Uterine or cervical cancer
• Chronic pelvic pain
• Very heavy menstrual bleeding
• Large, symptomatic and recurrent uterine fibroids
• Uterine prolapse, which occurs when the uterus “drops” into the vaginal vault
• Endometriosis or adenomyosis, painful conditions that occurs when the uterine lining tissue (the endometrium) grows outside the uterus or into the deeper layers of the uterine wall

What is a Laparoscopic Hysterectomy?

Laparoscopic hysterectomies are minimally invasive procedures that use very small incisions to access and remove the uterus. During the procedure, the doctor makes three very small incisions into the abdomen. A special instrument called a laparoscope is inserted into the abdominal space through one incision, and a tiny camera on the end of the scope sends back very detailed images of the surgical site to a monitor. Additional instruments are inserted and used to remove the uterus, and in some cases, the ovaries as well (a procedure called an oophorectomy). Laparoscopic hysterectomies take about an hour to perform, and most procedures can be performed on an outpatient basis, which means patients return home the same day.

What are the Benefits of Laparoscopic Hysterectomy Procedures?

Studies show minimally invasive procedures like laparoscopic hysterectomies are associated with less tissue damage and bleeding, and therefore faster recoveries and less discomfort during recovery. The scars are also much smaller, and the risk of complications is much lower compared to traditional hysterectomies that use larger incisions. Faster recovery also means women are able to get back to their normal routines much more quickly following surgery.

Can All Hysterectomies Be Performed Using the Minimally Invasive Laparoscopic Technique?

While many hysterectomies can be performed laparoscopically, sometimes an open incision approach is better, especially in instances where cancer is present and additional surrounding tissue needs to be evaluated or removed. The doctor will be able to determine which approach is best based on the presurgical exams and evaluations.