TLH Surgery

TLH surgery, known as total laparoscopic hysterectomy, is a procedure performed to remove the uterus. This surgery is often utilized in Patna to address conditions like uterine fibroids, which are benign growths within the uterus. Depending on the severity, the patient may require either a partial removal of uterine tissues or a complete removal of the uterus.


Another situation that might necessitate TLH surgery is pelvic inflammatory disease—a condition involving infections within the female reproductive system.

Procedure Overview

The patient is administered either local anaesthesia to numb the lower body or general anaesthesia for complete body numbing. Following anaesthesia, the surgeon makes an incision, typically about 5 to 7 inches in size, either horizontally or vertically through the abdominal wall. Through this incision, the uterus is extracted. 

Alternatively, a vaginal approach can be employed. Here, an incision is made at the top of the vagina, through which the uterus is removed. This approach results in minimal scarring. 

Laparoscopic surgery is another method for uterine removal, involving small incisions on the abdomen. 

Types of TLH Surgery

Four types of TLH surgery are practiced, chosen based on the specific medical requirements:

1.      Total TLH Surgery: This involves the complete removal of the uterus and cervix. Severe cases might necessitate this procedure.
2.      Supra-cervical TLH Surgery: Only the uterus is removed, leaving the cervix intact.
3.      Radical TLH Surgery: This is performed when there are cancerous elements. It entails removing surrounding tissues and structures.
4.      Total TLH Surgery with Bilateral Salpingo-oophorectomy: This procedure includes the removal of the ovaries and fallopian tubes along with the uterus. 


TLH surgery offers several advantages:

·        Precise outcomes
·        Reduced complications
·        Lesser postoperative pain
·        Shorter hospital stays 

Side Effects and Complications

However, there are potential complications, such as:

·        Bleeding
·        Infections
·        Anesthesia-related reactions
·        Damage to neighboring organs
·        Loss of fertility
·        Possible chronic pain 

Immediate Postoperative Phase

Following the surgery, patients might experience numbness due to anesthesia. A urinary catheter is placed in the bladder, and eating/drinking is restricted initially. Water intake is allowed after 4 hours, and eating resumes on the following day. 

On the second day, patients can shower and eat normally. Drips and catheters are removed, and discharge from the hospital is possible. 

Suitable Candidates

Women with uterine infections, tumours, or other related conditions are potential candidates for TLH surgery. Consultation with a surgeon is crucial. Common indications for TLH surgery include:

·        Pelvic inflammatory disease
·        Uterine fibroids
·        Uterine cancer
·        Endometriosis
·        Abnormal uterine bleeding
·        Uterine prolapse 

Prevention and Recovery

To minimize complications before and after surgery:

·        Avoid alcohol and smoking
·        Exercise and maintain a healthy weight
·        Consume a balanced diet
·        Undergo pre-surgery medical check-ups
·        Maintain overall fitness
·        Discuss medications and medical history with your doctor 

Post-surgery, a hospital stay of up to 5 days might be recommended. Patients should adhere to lifting restrictions and avoid sexual activity for about six weeks. For appointments at Big Apollo Spectra Hospital, Patna: Call 0612-3540100 

Remember, prevention and adherence to medical guidance play a pivotal role in ensuring a successful TLH surgery and recovery.