Total Laparoscopic Hysterectomy
Embrace the Journey, Nurture Life
Safe, Minimally Invasive Uterus Removal Surgery
Total Laparoscopic Hysterectomy (TLH)
A Total Laparoscopic Hysterectomy (TLH) is a minimally invasive surgical procedure to remove the uterus using laparoscopic (keyhole) techniques. Unlike traditional open surgery, TLH is performed through small incisions in the abdomen, ensuring less pain, faster recovery, and minimal scarring.
This procedure may be recommended for women with gynecological conditions that cannot be effectively managed with medication or less invasive treatments. At Dr. Swetha Madhuri’s clinic, TLH is performed with precision, safety, and a patient-centered approach.
- A hysterectomy may be advised for:
- Symptomatic uterine fibroids
- Endometriosis not responding to other treatments
- Abnormal or heavy uterine bleeding (uncontrolled with medicines)
- Adenomyosis
- Uterine prolapse
- Precancerous or early-stage cancerous changes of the uterus or cervix
- Chronic pelvic pain linked to uterine conditions
- Minimally invasive with small incisions
- Less blood loss compared to open surgery
- Shorter hospital stay (usually 1–2 days)
- Faster recovery and quicker return to normal life
- Minimal scarring and cosmetic advantage
- Reduced postoperative pain and complications
Anesthesia – Procedure performed under general anesthesia.
Small Incisions – Tiny cuts made on the abdomen to insert laparoscope and instruments.
Uterus Removal – Uterus is detached and removed carefully through laparoscopic guidance.
Cervix Removal (if required) – In TLH, the cervix is usually removed along with the uterus.
Closure & Recovery – Small incisions are closed; patients typically recover quickly.
- Hospital stay: 24–48 hours in most cases
- Return to routine: 1–2 weeks (lighter activities)
- Complete recovery: 4–6 weeks
- Follow-up: Regular checkups ensure proper healing and overall health
Frequently Asked Questions
Will I still have periods after TLH?
No. Since the uterus is removed, menstrual bleeding will stop permanently.
Will hysterectomy affect my hormones?
If the ovaries are removed along with the uterus, it may trigger menopause. If ovaries are retained, hormone function usually continues.
Can I have children after TLH?
No. Removing the uterus eliminates the possibility of pregnancy.
Is TLH safe?
Yes, it is a standard and safe procedure with lower risks compared to open hysterectomy when performed by an experienced surgeon.
How painful is recovery?
Pain is usually mild compared to open surgery, and most women resume normal activities within 1–2 weeks.