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.
Benefits
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.