Total Laparoscopic Hysterectomy – TLH
This outpatient procedure involves laparoscopic removal of the cervix and uterus, with or without removal of the ovaries. Fallopian tubes are often removed since it is now believed that fallopian tubes are the source for certain types of ovarian cancer. This outpatient approach is associated with less pain, less bleeding, less infection, fewer adhesions, and a quicker recovery than the open approach. Other conditions, such as endometriosis and adhesions, can be treated at the same time. Some pelvic support procedures can be performed at the same time. This procedure is performed by laparoscopy with 3 small (8mm) abdominal incisions. There is also a healing incision inside the vagina where the vaginal apex is closed (Where the cervix/uterus was connected).