Laparoscopic Hysterectomy

Minimally invasive uterine removal for fibroids, endometriosis, or gynaecological conditions โ€” with smaller scars, faster recovery, and less blood loss than open surgery.

2โ€“3 DaysHospital Stay
2โ€“3 WeeksRecovery
MinimalScarring
27+Years Experience
Call +91 93533 16175 Book Appointment
Dr. Prashanth J V
Dr. Prashanth J V
MBBS ยท MS ยท FMAS ยท FISCP ยท DMAS ยท Kiel University, Germany
โญ 4.9/5 Rating
27+ Years Experience

Why a Hysterectomy May Be Recommended

A hysterectomy is the surgical removal of the uterus. It is recommended when other treatments have not controlled symptoms adequately. The most common reasons include large or symptomatic uterine fibroids, endometriosis causing chronic pelvic pain, abnormal uterine bleeding unresponsive to medical management, uterine prolapse, adenomyosis, and in some cases early gynaecological cancers.

Laparoscopic hysterectomy offers a major advantage over the traditional open approach. With just 3 to 4 small incisions, the surgeon operates through a high-definition camera and specialised instruments. Blood loss is considerably lower, post-operative pain is reduced, and patients leave hospital within 1 to 2 days rather than 4 to 7 days for open surgery.

Depending on the reason for surgery, the ovaries and fallopian tubes may be left intact. When the ovaries are preserved, hormone production continues normally and menopause does not occur prematurely. The appropriate scope of surgery is discussed with each patient based on her age, diagnosis and preferences.

โš ๏ธ Common Reasons for Hysterectomy
  • Uterine fibroids causing heavy bleeding or pressure
  • Endometriosis with persistent pelvic pain
  • Adenomyosis (fibroids within the uterine wall)
  • Abnormal uterine bleeding unresponsive to medication
  • Uterine prolapse affecting bladder or bowel
  • Gynaecological cancer or high-risk pre-cancerous conditions

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How Laparoscopic Hysterectomy Is Performed

The operation is performed under general anaesthesia and typically takes 60 to 90 minutes. A uterine manipulator is inserted vaginally to allow precise positioning during surgery.

1
Anaesthesia and Preparation

General anaesthesia is administered. A urinary catheter drains the bladder during surgery. The abdomen is prepared and sterile drapes are positioned.

2
Port Placement and Insufflation

Three to four small incisions (5โ€“12 mm) are made. Carbon dioxide gently inflates the abdominal cavity, creating a safe working space and clear view of the uterus and surrounding structures.

3
Laparoscopic Dissection

Using HD camera guidance, energy instruments carefully seal and divide the uterine blood supply and supporting ligaments. The bladder is gently mobilised away from the cervix.

4
Uterus Removal

The uterus is detached from the vaginal vault and removed through the vagina โ€” no additional abdominal incision needed. The vaginal cuff is then sutured closed laparoscopically.

5
Closure and Recovery

Port sites are closed with absorbable sutures. Most patients are comfortable and walking by the same evening.

What to Expect After Surgery

Days 1โ€“2

Brief hospital stay. Mild abdominal soreness managed with regular analgesics. Catheter removed on day 1 and most patients are walking by the evening of surgery.

Days 3โ€“7

Rest at home with short walks encouraged. Light vaginal spotting for a few days is normal. Avoid heavy lifting, driving and vigorous activity.

Weeks 2โ€“4

Return to desk work and light household activities. Fatigue improves steadily. Avoid intercourse until the vaginal cuff heals fully at 6 weeks.

Week 6 Onward

Full unrestricted activity including exercise and intercourse. A follow-up confirms complete healing. Most women report significant improvement in quality of life.

Why Patients Choose Dr. Prashanth J V

๐Ÿฅ
27+ Years of Surgical Experience

Extensive experience performing laparoscopic hysterectomies with consistently low complication rates and excellent outcomes for patients.

๐Ÿ”ฌ
Advanced Keyhole Technique

HD laparoscopy, advanced energy sealing devices and meticulous haemostasis to minimise blood loss and speed up healing.

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Clear, Honest Counselling

Every patient receives a thorough pre-operative consultation covering all options, risks and realistic expectations before any decision is made.

Frequently Asked Questions

A total hysterectomy removes the uterus and cervix. The ovaries and fallopian tubes may be left in place or removed depending on the indication and your age. Preserving the ovaries avoids surgical menopause and maintains normal hormone production.
Only if the ovaries are also removed. If your ovaries are kept, they continue producing oestrogen and progesterone, and natural menopause occurs whenever it would have otherwise. Periods stop permanently because the uterus is removed, but hormonal cycles continue if the ovaries remain.
Most patients are comfortable at home within a few days and return to desk work by 2 weeks. Full activity, including exercise and intercourse, resumes at 6 weeks once the vaginal cuff heals. This is considerably faster than the 6 to 8 week recovery typical after open hysterectomy.
Yes. Laparoscopic hysterectomy has an excellent safety profile with lower rates of bleeding, wound infection and post-operative complications compared to open surgery. Dr. Prashanth will assess your individual anatomy and medical history to confirm you are a suitable candidate.
No. Removal of the uterus permanently ends the ability to carry a pregnancy. This is an irreversible procedure recommended only when the uterus is the source of a significant medical problem and other treatments have not been effective.

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Take the Next Step Towards Relief

Book a consultation with Dr. Prashanth J V to discuss your options. He will recommend the right approach based on your condition, age and goals.

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