What is a Laparoscopic Hysterectomy? (Minimally Invasive Uterine Removal)

A laparoscopic hysterectomy is the procedure for removing the uterus using a minimally invasive (“closed”) method, without a large abdominal incision. It is generally performed through 3-4 small incisions, and therefore, the recovery time is much shorter compared to open surgery.

Why is a Hysterectomy Performed?

The removal of the uterus may be recommended in the following situations:

• Myomas (Fibroids) (Benign tumors in the uterus)

• Endometriosis (Chocolate cysts)

• Menstrual irregularities and excessive bleeding (Menorrhagia)

• Uterine prolapse

• Uterine cancer or pre-cancerous lesions

Advantages of Laparoscopic Hysterectomy

• Less pain: Patients experience significantly less pain compared to open surgery.

• Fast recovery: A return to daily life is possible within an average of 7-10 days.

• Less blood loss: Blood loss during laparoscopic surgery can be up to 50% less than in open surgery.

• Smaller scars: It is more advantageous from a cosmetic (aesthetic) perspective.

What Does the Scientific Data Say?

• In a large-scale study published in 2021, it was observed that 85% of patients who underwent a laparoscopic hysterectomy were able to return to work within 2 weeks.

• In the same study, the risk of infection was found to be 60% lower than in open surgery.

• According to another meta-analysis, laparoscopic hysterectomies carry a very low risk, with a complication rate of 3-5%.

Who Is It Suitable For?

A laparoscopic hysterectomy is suitable for many patients who require uterine removal. However, if the uterus is very large, if there are severe adhesions (scar tissue), or if certain types of cancer are present, open surgery may be preferred.

Therefore, each patient must be evaluated individually.

Life After Surgery

Women who have had their uterus removed do not menstruate. However, if the ovaries were not removed, hormone production continues. Sexual life is generally not affected, and most women report satisfaction as they are living a life free of pain (which may have been caused by the original condition).

Conclusion

Laparoscopic hysterectomy is one of the most frequently performed and highly successful surgical methods in gynecology today. It increases patient comfort with less pain, a short recovery time, and a low risk of complications.