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Laparoscopic Hysterectomy

  • Total Laparoscopic Hysterectomy  (TLH)

Many of the women in need for a hysterectomy are candidates for TLH . The word “Total” refers to removing the body of the uterus and the cervix.  It is an alternative to the total abdominal hysterectomy which requires a 5-7 inch incision. In the united states, about 70% of the hysterectomies are performed as total abdominal hysterectomies. Most of these can be accomplished laparoscopically when performed by an experienced laparoscopic surgeon.

  • Subtotal (Supracervical) laparoscopic Hysterectomy

In the absence of cervical pathology, the body of the uterus can be removed leaving the healthy cervix in place. This procedure requires less surgery than the hysterectomy that includes removal of the cervix .

In addition , some doctors believe that preserving the cervix may help maintain a normal sexual function and normal pelvic support  since the nerves and blood supply to the cervix and upper vagina are not interrupted.

The following link is a video for the Total laparoscopic hysterectomy procedure -with bilateral salpingo-oophorectomy