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Safe and Effective Laparoscopic Hysterectomy Surgery in Mumbai

Home » Laparoscopic Hysterectomy Surgery

Laparoscopic Hysterectomy Surgery

Laparoscopic Hysterectomy Surgery revolutionizes the field of gynecological surgery by offering a less invasive approach to addressing common issues such as fibroids, endometriosis, and abnormal bleeding. By utilizing small incisions and specialized tools, this procedure allows for a quicker recovery and reduced discomfort compared to traditional open surgeries. This advanced technique has significantly improved the overall patient experience and outcomes in the gynecological surgery.

Laparoscopic hysterectomy of uterus Removal in Goregaon, Mumbai is a modern method of surgical removal of the uterus. It is done through a small incision placed near the belly button through which the surgeon inserts a laparoscope attached to a camera. The surgeon watches the image on the TV screen and performs the procedure. It is a pain-free surgery with faster recovery.

Laproscopic-Hysterectomy-surgery

We, at Vardaan hospital; are equipped with advanced laparoscopic instrumentation. Dr. Dimple Doshi is an expert laparoscopic surgeon with an experience of more than 12 years in the field of gynec laparoscopy.

ICD-10 Codes for Laparoscopic Hysterectomy

N85.2– Hypertrophy of the uterus

D25.9-Leiomyoma of uterus, unspecified (uterine fibroids)

N92.0-Excessive and frequent menstruation with regular cycle

C54.1-Malignant neoplasm of endometrium

C53.9– Malignant neoplasm of cervix uteri, unspecified

CPT Codes for Laparoscopic Hysterectomy

58570-Laparoscopy, surgical, total hysterectomy, for uterus 250 grams or less

58571– Laparoscopy, surgical, total hysterectomy, with removal of tubes and/or ovaries, for uterus 250 grams or less

58572– Laparoscopy, surgical, total hysterectomy, for uterus greater than 250 grams

58573– Laparoscopy, surgical, total hysterectomy, with removal of tubes and/or ovaries for uterus greater than 250 grams

Dr. Dimple Doshi at Vardaan Hospital; believes prevention is better than cure, and thus apart from the precise treatment guidelines; preventive measures are an essential part of our consultations with the patients who have either had it or want to know more about it.

Types of Hysterectomy

  • Subtotal hysterectomy

  • Total laparoscopic hysterectomy
  • Pan hysterectomy

Some common indications of hysterectomy are:-

  • Heavy menstrual bleeding
  • Uterine fibroids
  • Adenomyosis causing severe abdominal pain during menses and heavy bleeding
  • Cancer prevention and treatment.
  • Chronic pelvic pain.
  • Endometriosis causes severe pain During menses

Pre operative Preparations

You should be in your best health for a safe and smooth recovery after a laparoscopic hysterectomy

So once your surgeon has done your thorough gynecological check-up and you decide to go ahead with the surgery; you will be advised the following:

  1. General examination and fitness tests.
  2. Complete body checkup tests
  3. X-ray chest
  4. Abdominal sonography and if needed CT scan or MRI abdomen are done to know the diagnosis or extent of the disease.
  5. If you are suffering from diabetes; hypothyroidism or blood pressure; it should be under control and pl continue taking the medicines for that.
  6. Quit smoking before surgery.
  7. You should stop any nutritional support medicines; over-the-counter pain medicines; blood thinners like aspirin; or birth control pills before surgery.
  8. You will be asked to take light diet 2 days prior to surgery and avoid milk; milk products and other heavy foods that can bloat your stomach.

YOU WILL BE GIVEN DETAILED INSTRUCTIONS BEFORE SURGERY.

YOUR LAPAROSCOPIC SURGEON AND THE TEAM ARE ALWAYS THERE TO GUIDE YOU IN CASE OF ANY CONFUSION.

ON ADMISSION TO THE LAPAROSCOPIC SURGERY CENTRE:

Please inform about:

Recent illnesses like the common cold; fever; urinary tract infections or any other seasonal illness.

Your medical ailments like diabetes; blood pressure; asthma; thyroid or any other medical illness.

Any ongoing medicines.

Past history of any major or minor illness; allergies; hospitalizations; trauma or surgery.

Family history of any significant illness like blood pressure; diabetes; cardiac ailments; cancer; g6 PD deficiency; bleeding disorders; thyroid; thalassemia or any other illness.

Your laparoscopic surgeon will:

Explain to you again about the surgery and the removal of fallopian tubes and/or ovaries

Your physical fitness will be re-evaluated by the anesthetist

Preoperative formalities are done like signing an informed consent forms

Pre-operative medications will be started.

  • This procedure is done under general anesthesia in the operating room.
  • A small incision is placed around your umbilicus and through this, your abdomen is inflated with Co2 gas and then a fibreoptic telescope is introduced and all abdominal organs are inspected.
  • Two or Three more such tiny incisions are placed on the abdomen through which other tiny laparoscopic instruments are inserted.
  • The uterus and cervix are released from their surrounding attachments by using higher-end electrosurgical units. And this is responsible for a negligible amount of postoperative pain.
  • You will also be informed about the preservation or removal of one or both ovaries depending upon your problem or the condition inside. And your gynecologist will guide you about it.
  • The whole surgery of laparoscopic hysterectomy will be done through tiny incisions which given after you are completely anesthetized.
  1. You will be kept in the recovery room for 2 hours to closely monitor your vital signs.
  2. You may be allowed sips of water after 6 hours and this may be followed by a light diet.
  3. You may have mild pain in your shoulder or back which is because of the gas used in surgery but it will subside in a day or two.
  4. You will be encouraged to walk around after 6 to 8 hours and if not comfortable; you may take a rest.
  5. If a catheter is placed to drain urine; it may be removed the next day.
  6. You will be allowed to have a full-bland diet from the next day.
  7. You may be discharged the next day depending upon your comfort.
  8. You will be explained about the antibiotics and pain killers following surgery.
  9. You may have some discomfort in the area or you may feel tired for a few days after the procedure but with each passing day, you feel better.
  10. You will be called for follow-up and dressing removal after 6 days.

As with any surgical procedure, there are associated risks and complications which include:

  1. Problems of anesthesia
  2. Injury to internal organs
  3. Bleeding and infection

Any specific risks and complications will be discussed with you prior to the procedure. Laparoscopic hysterectomy has revolutionized the methods of hysterectomy. Barring a few cases like very large uteri or other associated medical problems almost all hysterectomies can be done with the help of laparoscopy. Laparoscopic hysterectomy is THE method of choice whenever a woman has to undergo this surgery.

Q: Is Laparoscopic Hysterectomy A Major Surgery?

A: After a laparoscopic hysterectomy, you can start eating and moving faster and can take discharge also faster, but it is still major surgery.

Q: Is Laparoscopic Hysterectomy Painless?

A: Compared to the open hysterectomy; laparoscopic hysterectomy definitely causes less pain as it is done through keyholes and higher-end instruments are used for it; like harmonic ACE which causes less tissue damage and so faster recovery and less pain.

Q: How Long Does It Take To Recover From Laparoscopic Hysterectomy?

A: Though you will be discharged within 2 days of the surgery; you will be asked to avoid heavy; strenuous activity for 15 days and complete recovery takes place in 6 to 8 weeks.

Q: How Long Is Bed Rest After Laparoscopic Hysterectomy?

A: Complete bed rest is not required after laparoscopic hysterectomy but you will be asked to avoid heavy, strenuous activities for 2 weeks; though you can continue walking and doing light work at home.

Q: Do I Need To Stay Overnight After Laparoscopic Hysterectomy?

A: Minimum of 23 hours stay is required after a hysterectomy is done by laparoscopy. However, it depends upon the complexity of the surgery like dealing with dense adhesion, and may require a day or two more in the hospital.

Q: How Long Does A Laparoscopic Hysterectomy Take?

A: Laparoscopic hysterectomy takes about 1.5 to 2 hours and sometimes twice that if the surgery is complicated like deep infiltrating endometriosis or a very big uterus.

Q: When Can I Take Bath After Laparoscopic Hysterectomy?

A: You can take a bath the next day as the dressing is done to cover the keyholes is waterproof.

Q: How Is The Uterus Removed After Laparoscopic Hysterectomy?

A: The uterus is released from all its attachments in the pelvis and then removed through the vagina. It is also called NOSE ( natural orifice specimen extraction )

Q: Does The Laparoscopy Has The Limitation Of Removing Only Half Uterus?

A: No. it is an utter misconception that with laparoscopy only half the uterus is removed and the remaining half can produce problems in the future. It is a myth. With skilled hands; even big uteri can be removed through tiny incisions completely.

Q: Is Laparoscopic Hysterectomy A Major Surgery?

A: After a laparoscopic hysterectomy, you can start eating and moving faster and can take discharge also faster, but it is still major surgery.

Q: Is Laparoscopic Hysterectomy Painless?

A: Compared to the open hysterectomy; laparoscopic hysterectomy definitely causes less pain as it is done through keyholes and higher-end instruments are used for it; like harmonic ACE which causes less tissue damage and so faster recovery and less pain.

Q: How Long Does It Take To Recover From Laparoscopic Hysterectomy?

A: Though you will be discharged within 2 days of the surgery; you will be asked to avoid heavy; strenuous activity for 15 days and complete recovery takes place in 6 to 8 weeks.

Q: How Long Is Bed Rest After Laparoscopic Hysterectomy?

A: Complete bed rest is not required after laparoscopic hysterectomy but you will be asked to avoid heavy, strenuous activities for 2 weeks; though you can continue walking and doing light work at home.

Q: Do I Need To Stay Overnight After Laparoscopic Hysterectomy?

A: Minimum of 23 hours stay is required after a hysterectomy is done by laparoscopy. However, it depends upon the complexity of the surgery like dealing with dense adhesion, and may require a day or two more in the hospital.

Q: How Long Does A Laparoscopic Hysterectomy Take?

A: Laparoscopic hysterectomy takes about 1.5 to 2 hours and sometimes twice that if the surgery is complicated like deep infiltrating endometriosis or a very big uterus.

Q: When Can I Take Bath After Laparoscopic Hysterectomy?

A: You can take a bath the next day as the dressing is done to cover the keyholes is waterproof.

Q: How Is The Uterus Removed After Laparoscopic Hysterectomy?

A: The uterus is released from all its attachments in the pelvis and then removed through the vagina. It is also called NOSE ( natural orifice specimen extraction )

Q: Does The Laparoscopy Has The Limitation Of Removing Only Half Uterus?

A: No. it is an utter misconception that with laparoscopy only half the uterus is removed and the remaining half can produce problems in the future. It is a myth. With skilled hands; even big uteri can be removed through tiny incisions completely.

Dr. Mrs. Dimple Doshi is a lady gynecologist; practicing at Vardaan Hospital situated in Goregaon West; Mumbai. We have a range of packages for laparoscopic hysterectomy depending on the type of room you select.

Economy ward/ general room : ₹ 50,000
Semi special room: ₹ 68000 to ₹ 75000
Deluxe Room: ₹ 1.2 lacs
Super deluxe room: ₹ 1.5 lacs
Suit rooms: ₹ 2 lacs