Laparoscopic hysterectomy in Türkiye

Laparoscopic hysterectomy is a type of surgery that aims to remove the uterus through a laparoscope (a thin tube with a small camera) and other surgical tools inserted through several small surgical incisions in the abdomen. The uterus can be taken out in small pieces through the incisions or through the vagina.

Why is a hysterectomy done laparoscopically?

Laparoscopic hysterectomy to treat conditions such as:

Fibroids: Non-cancerous growths in or on the uterus that may cause pain, severe bleeding, and pressure on surrounding organs, causing frequent urination or other problems.
Endometriosis : It is the growth of tissue similar to the tissue that lines the uterus and this may lead to scarring and can cause bleeding and severe pain

Other causes of pain or bleeding such as:

Adenomyosis (uterine growth of a lining within the muscle of the uterus).
Uterine polyps (tissue growths emerging from the wall of the uterus).
precancerous changes _

Benefits of a laparoscopic hysterectomy

A classic hysterectomy involves performing the surgery through a single large incision in the abdomen while a laparoscopic hysterectomy is characterized by:

Smaller incisions and fewer scars.
Less time in the hospital and faster recovery.
Less pain after surgery.
Low risk of complications.

When is a laparoscopic hysterectomy not appropriate:

Laparoscopic hysterectomy is not appropriate if there are other treatment options to treat the symptoms in addition to the following reasons:

Medicines: These can successfully help many women.

Considering the inability to conceive and become pregnant after the operation.
Suffering from previous cancer or previous uterine surgeries.
Excess weight : This type of surgery may not be appropriate in the event that you are overweight.

Types of laparoscopic hysterectomy

Partial hysterectomy (the uterus is removed but the cervix is left) Total hysterectomy (the uterus and cervix are removed) Total hysterectomy with one or both of the ovaries and fallopian tubes removed

before surgery

There are a number of important things to do before a laparoscopic hysterectomy, including:

Stop smoking: due to the constriction of blood vessels and the increase in the time required for recovery.

Carrying out blood and urine tests and other examinations.
Stop taking certain medications such as aspirin and non-steroidal anti-inflammatory drugs
Stop eating and drinking eight hours before surgery.

Surgery:

The operation takes place under general anesthesia in the operating room, and this begins with making a small incision just below the navel, then the abdomen is inflated with gas, and a fiber-optic tool called a laparoscope is inserted to view the internal organs. Uterus and cervix with or without ovaries and tubes.

After laparoscopic hysterectomy:

The patient spends several hours in the post-operative room, and most women are able to go home the same day
The incisions are covered with bandages after being sutured with dissolvable surgical sutures
He is given some pain relieving medication
The patient should walk a little bit every day as walking reduces the risk of blood clots and breathing problems
The length of recovery time varies, but for most women it takes 2 to 4 weeks.

Risks and complications:

This procedure is safe, but like other surgeries, it carries some risks, including:

infection or bleeding
Side effects of anesthesia
Affecting nearby organs such as the bladder.

When should you contact the doctor?

Fever over 38 °C.
Bleeding from the wound or discharge of thick yellow or green fluid
severe pain
difficulty breathing.
persistent cough
Inability to eat or drink.
nausea or vomiting,
inability to urinate
Feeling pain or burning when urinating
Foul-smelling vaginal discharge.

Bleeding from the vagina.
Thick watery secretions from the vagina.
Swelling or redness in one leg.