Frequently Asked Questions:

1. Will the uterus be removed completely? How can it be removed through small incisions?

• The uterus is separated laparoscopically, however it is removed through the vagina. Hence a normal sized uterus can be easily delivered from below. If the uterus is large, it may be cut into two or more parts before being delivered. If it is very large (as in large fibroids), it is cut into small strips using a morcellator and the pieces are retrieved through the abdomen.

2. Why not open surgery, which is time tested? Why laparoscopy?

• Open surgery was the norm as laparoscopy was not available earlier. However, due to advantages such as:
• Less post-operative pain
• Faster recovery, discharge on 3rd post –operative morning
• Smaller incisions
Patients usually are far more comfortable and have less risk of post-operative wound infection and hernia.

3. How soon will I be able to go home after the procedure?

• You should be able to go home on the 2nd or 3rd post operative day.

4. In which cases does laparoscopy prove particularly useful?

• In extremely obese patients, laparoscopy can avoid problems with incisional gape, infection as well as post-operative hernia. In women with no children or unmarried girls, it offers many advantages and can make the surgery far simpler.

5. Can you remove the ovaries laparoscopically?

• Of course, that is very easy and this is one of its advantages over vaginal surgery.

6. If I have to undergo repair for prolapse of the uterus along with hysterectomy, can I still undergo laparoscopic surgery?

• Yes. Laparoscopic hysterectomy can be combined with various types of prolapse surgeries.

7. Laparoscopy requires general anaesthesia. Is it harmful?

• Laparoscopy does require general anaesthesia. Under controlled conditions, with proper precautions, it is as safe as any other form of anaesthesia. At our set-up we ensure complete safety by doing a thorough pre-operative evaluation as well as using the latest machines to monitor your patient intra-operatively as well as ensure excellent post-operative care.

8. Should all patients undergo laparoscopic hysterectomy only?

• While laparoscopy has its advantages, it may not be suitable for all patients. The decision to remove your uterus by the abdominal, vaginal or laparoscopic approach should be mutual between you and your gynaecologist, depending on your medical condition, size of your uterus, other variables and the experience and confidence of the surgeon handling your case.

9. Which cases are not suitable for laparoscopic approach?

• Again here, today, in almost all cases, laparoscopy can be the preferred route of surgery. However, certain cases may be high risk for laparoscopic approach, such as those with multiple previous surgeries or with moderate to severe heart ailment, very large tumors or malignancy. You should discuss your case in details with your doctor, before going under the knife.

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