Laparoscopic Hysterectomy

Hysterectomy is the operation of taking uterus out of body. Today, it is the second most common operation after C/section. Every year, mean 600,000 patients undergo hysterectomy in USA, 80,000 in England and 72,000 in France.

Hysterectomy operation is performed as abdominal (open method), vaginal and laparoscopic (closed). The first preference is always vaginal hysterectomy. If the uterus cannot be picked out vaginally, it should be preferred to pick out laparoscopically. Open method should be offered to the patients as the last option due to advantages of other methods.

Advantages of Laparoscopic Hysterectomy

No big skin incisions

Better imaging

Less blood loss

Less pain and drug therapy

Less intra-operative and post-operative complication

Minimal scars

Shorter duration of stay in hospital

Shorter time to return work

Lower cost

Hysterectomy operations are most frequently applied in cases of abnormal uterine bleedings, myomas, endometriosis, uterine prolapsus, endometrial hyperplasia, intra-abdominal adhesions and infections and cancers that can be treated surgically.

In our clinic, we perform 80% of hysterectomies by laparoscopic methods, 10% by vaginal methods and the other 10% by abdominal (open) methods. In our clinic, total 2696 hysterectomies were applied between 1990-2011. 2135 of them were performed with laparoscopic methods. Total duration of these operations was 55 minutes and duration of stay in hospital was 1 night.

In conclusion, laparoscopic hysterectomy applied by experienced surgeons is a safe, comfortable and advantageous operation for both the patient and the surgeon and rates of complication are very low.

  • Myoma: Myomectomy (extraction of myomas) can be applied, or if required, uterus can be extracted completely with laparoscopic methods (hysterectomy).
  • Laparoscopic hysterectomy can be applied in early cervical cancers.
  • Laparoscopic hysterectomy and, if necessary, lymphadenectomy (extraction of lymph nodes) can be performed in endometrium bleedings that cannot be stopped with drugs, atypical hyperplasia or cancers.
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