The New Hysterectomies
Countless women suffer each month from menstrual problems. The may experience excessive and unpredictable bleeding due to fibroid tumors. Some experience significant pelvic pressure and bladder issues. Yet despite the debilitating pain, most of these women avoid a recommended hysterectomy for as long as possible. They fear the prominent abdominal scar, as well as the painful, extended recovery associated with traditional abdominal hysterectomy.
Fortunately, there are now safe, effective alternatives to the traditional abdominal hysterectomy. Laparoscopic Supracervical Hysterectomy (LSH), Laparoscopic Total Hysterectomy (TLH) and Single Incision Laparoscopic Surgery (SILS) can be less painful, produce less scarring and require a shorter recovery time than the traditional hysterectomy. Robotic Hysterectomy can be used for more complicated cases that in the past had to undergo open abdominal procedures. At Brown, Pearson, & Guepet Gynecology we have extensive experience in all of these hysterectomy options and have been national preceptors in teaching other physicians how to perform them. We pride ourselves in rarely ever requiring a large abdominal incision for any hysterectomy.
How do these minimally invasive hysterectomies work? Each involves general or regional anesthesia and uses laparoscopy to remove the uterus. A small laparoscope (thin lighted telescope) and small surgical instruments are inserted through several tiny incisions (less than 1 cm) in the navel and abdomen. (In SILS, there is only one small incision.) Using these instruments, the surgeon is able to carefully remove the uterus through one of the small incisions. These procedures are usually outpatient, requiring less than a 24-hour stay. Most patients are able to resume normal activities within 7 days, begin driving as soon as they are no longer taking narcotic pain medication and scars are barely visible. Ask your doctor if you’re a candidate for TLH, SILS, or Robotic Hysterectomy.