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Laparoscopic Hysterectomy: Which Type is For You?

By HERWriter
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There are many opinions surrounding hysterectomy. Some women choose it. Others don’t. For women who do, a type of laparoscopic hysterectomy may be an option.
Hysterectomy, the surgical removal of the uterus, treats problems with the uterus, such as pain and heavy bleeding caused by endometriosis or fibroid tumors. It may also be used if there is cancer in the uterus, cervix or ovaries.

Laparoscopic hysterectomy is a surgical procedure done with a viewing instrument, called a laparoscope, and surgical instruments inserted through vaginal and abdominal incisions.

The types of laparoscopic hysterectomy are:

Laparoscopically assisted vaginal hysterectomy (LAVH). With LAVH, a doctor uses a laparoscope to guide the removal of the uterus through the vagina.

LAVH can also remove fallopian tubes and ovaries. On the flip side, it’s more expensive and takes longer to perform.

Laparoscopic supracervical hysterectomy (LSH). LSH is performed through one small incision in the base of the belly button and two smaller ones near the hip bones. The uterus is cut from its blood supply and the cervix, then cut into strips and removed through a tube.

This type of procedure usually causes minimal blood loss and pain. LSH can remove uterine fibroids or uteruses of any size.

Like LAVH, it costs more. There may be an increased risk of injury if the surgeon is inexperienced. LSH is a newer surgery that requires special training and isn’t available in some areas.

Total laparoscopic hysterectomy (TLH). TLH is performed solely through laparoscopes in the abdomen, starting at the top of the uterus. The entire uterus is disconnected from its attachments using long thin instruments. Then all tissue to be removed is passed through the small abdominal incisions.

TLH does not use an incision in the wall of the vagina.

This type is also more costly as TLH is a newer surgery and requires special training. It usually takes longer to do than abdominal or vaginal hysterectomy and is not available in many parts of the country.

Two other advantages of laparoscopic hysterectomy are smaller scars and faster recovery than abdominal or vaginal hysterectomy.

One disadvantage with any type of laparoscopic hysterectomy is it may need to be switched to an abdominal surgery if the doctor is unable to remove a very large uterus or areas of endometriosis, adenomyosis or scar tissue.

If laparoscopic hysterectomy has been suggested as an option for you, weigh the pros and cons, the alternative treatments, and the potential benefits and risks.

Dr. Deborah Wilson

Add a Comment2 Comments

EmpowHER Guest

Umm, I am 27 and a mother of 3. I am recieving an LAVH in 3 days due to pain and bleeding that the drs cannot pinpoint. Anyways, Im not happy about it but have tried everything else,......And the comment I just read is kinda scary to someone who has no choice but to go through the surgery

October 12, 2012 - 10:39am
EmpowHER Guest

No where in this article about hysterectomy does it state the consequences of having this surgery. Hysterectomy damage is life-long. Among the most commmon consequences are; heart disease, painful intercourse, loss of short-term memory, blunting of emotion, personality changes, irritability and suicidal thinking, bone, joint and muscle pain, osteoporosis and loss of physical sexual sensation and many many more plus a woman's vagina is shortened, carred and dislocated by this surgery. No matter how a hysterectomy is performed, the outcome is the same. No drugs or other treatments can replace ovarian or uterine hormones or functions. The loss is permanent. A woman ends up with many health problems. She will most likely loose her marriage and career because of not being able to function as before her surgery. My surgery was 22 years ago and not a day goes by that I wished I wouldn't have had this very damaging surgery. The doctor took my ovaries, uterus and cervix all for a pea-sized fibroid. He didn't give me any alternative surgeries. Please go to the HERS Foundation web site and get information about this surgery. www.hersfoundation.com.

March 26, 2011 - 5:11pm
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We value and respect our HERWriters' experiences, but everyone is different. Many of our writers are speaking from personal experience, and what's worked for them may not work for you. Their articles are not a substitute for medical advice, although we hope you can gain knowledge from their insight.


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