Laparoscopic Hysterectomy utilizes the latest minimally invasive surgical techniques to remove the uterus through small (lcm) abdominal incisions. This procedure is indicated for heavy and irregular menstruation unresponsive to medical management, symptomatic fibroids, or pelvic pain from endometriosis/adenomosis or pelvic adhesive disease.
In the Laparoscopic Supracervical Hysterectomy, or LSH, the uterus is excised laparoscopically and removed, leaving a portion of the cervix behind. A special device called a morcellator is utilized to cut the uterine specimen into strips that are removed through a one-half inch diameter incision. The cervix is left in place to maintain sexual sensation and function. It also serves as prevention for future pelvic floor or vaginal apex prolapse. The procedure requires general anesthesia with a hospital stay, either as same-day surgery or overnight. There is usually less blood loss and less post-operative pain than traditional abdominal or vaginal hysterectomy. Recovery before returning to work is usually 10 days to 2 weeks.
Hysteroscopy is the use of a telescope-like instrument with a video camera to visually inspect the lining of the uterus (endometrium). It is commonly used to diagnose problems of the lining of the uterus including endometrial polyps, submucosal uterine fibroids, and uterine anomalies.
Operative hysteroscopy requires general or regional anesthesia and can be performed as an outpatient procedure.