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Laparoscopic Hysterectomy
  • Laparoscopic Supracervical
  • Laparoscopically Assisted Vaginal Hysterectomy
  • Total Laparoscopic Hysterectomy

The laparoscopic hysterectomy is a minimally invasive surgery to remove your uterus. Read on for information about your options and talk about your decision with your personal surgeon. Read more about what you need to know about hysterectomy.

Laparoscopic Supracervical Hysterectomy

As you are making decisions about your hysterectomy, you may consider keeping your cervix. A supracervical hysterectomy removes the uterus but leaves the cervix in place, which some research suggests may reduce the risk of pelvic organ prolapse and preserve sexual function. This is sometimes referred to as “partial hysterectomy.”

Acronym: LSH

Description of procedure: This procedure is done completely laparoscopically and does not remove the cervix. The uterus is cut up into small pieces and removed through the tubes which were inserted into the abdomen.

Indications/contra-indications: Not all women are candidates for laparoscopic hysterectomies and the decision to use this method must be made on an individual basis.

Initial Recovery: Expect 2 to 4 weeks of recovery, with some lifting and straining restrictions that could extend beyond this period.

Variations on a theme: It is also possible that your doctor will perform a Total Laparascopic Hysterectomy. In this case, the surgery will still be performed entirely laparoscopically, but the cervix will be removed.


Laparoscopically Assisted Vaginal Hysterectomy

Acronym: LAVH

Description of procedure: During a LAVH, several small cuts are made in the abdominal wall through which slender metal tubes called "trocars" are inserted to provide access for a laparoscope and other small surgical instruments. The laparoscope is like a tiny telescope with a camera attached to that provides a continuous image which is enlarged and projected onto a television screen.

Just like in a TAH or TVH , the uterus (including the cervix) is detached from the ligaments that attach it to other structures in the pelvis, and removed through a cut at the top of the vagina which is repaired with stitches.

Indications/contra-indications: Not all women are candidates for laparoscopic hysterectomies and the decision to use this method must be made on an individual basis.

Initial Recovery: Expect 4 to 6 weeks of recovery, with some lifting and straining restrictions that could extend beyond this period.

Total Laparoscopic Hysterectomy

Acronym: TLH

In this case, the surgery will still be performed entirely laparascopically.

Description of procedure: Just as a LAVH, tiny cuts are made in the abdominal wall to provide access for laparoscope and other surgical instruments. The uterus is removed through the tiny cuts in portions.

Indications/contra-indications: Not all women are candidates for laparoscopic hysterectomies and the decision to use this method must be made on an individual basis.

Initial Recovery: Although a shorter recovery time because there are fewer incisions, expect 4 to 6 weeks of recovery, with some lifting and straining restrictions that could extend beyond this period.

Possible additional surgical procedures performed at the same time:


Bilateral Salpingo and Oophorectomy

This involves the removal of both ovaries and of both tubes.

Acronym: BSO

Description of procedure: Sometimes, both ovaries and fallopian tubes are removed at the same time a hysterectomy is done. When both ovaries and both tubes are removed, it is called a bilateral salpingo-oophorectomy which is usually shortened to BSO. (bilateral=both sides, salpingo =the fallopian tubes, oophore =the ovaries, ectomy = removal)

Indications/contra-indications: The removal of ovaries is most often recommended when the ovaries are diseased. Your doctor may also recommend their removal in the case of cancers that are responsive to the hormones produced by the ovaries. If Endometriosis or Adenomyosis is suspected, some doctors will suggest the removal of ovaries. Removal of ovaries will throw you into surgical menopause which may result in hormonal unbalance and might put you at an increased risk for heart disease, some types of breast cancer and might trigger clotting disorders.

Initial Recovery: Your recovery will be based on the type of hysterectomy you had. Variations on a theme: Sometimes only the left or right ovary & tube are removed, and this is referred to as RSO or LSO


Laparoscopic Hysterectomy Stories

Browse all our member hysterectomy stories:

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10 Concerns about Intimacy after Hysterectomy
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10 Questions to Help You Decide about the Cervix
10 Reasons to Remove Your Jewelry and Body Piercings Before Your Hysterectomy
10 Tips for Preparing for Your Hysterectomy
10 Tips for Recovering at Home Alone After Hysterectomy
10 Tips to Prepare for Hysterectomy Recovery with Small Children
25 Health Risks Related to Oophorectomy and Surgical Menopause
25 Things to Know Before Your Hysterectomy
3 Choices to Make for Your Hysterectomy
4 Reasons to Have a Hysterectomy
4 Thoughts about Your Last Period before Hysterectomy
4 Tips for Preparing for Surgery with a Chronic Health Issue
5 Determining Factors for Hysterectomy Type
5 Reasons to Seek a Second Opinion
5 Tips for Managing Piles of Hysterectomy Paperwork
5 Ways to Prepare for Your Hysterectomy and First Surgery
50 Things I Wish I Had Known Before Hysterectomy
Abdominal Binder: What Is It & Do I Need One?
Abdominal Hysterectomy vs. C-Section
Alcohol Consumption before Hysterectomy
Am I Making the Right Decision to Have Hysterectomy
Anesthesia | Can My Anesthesiologist Help with Pre-Op Anxiety?
Anesthesia | Does Hysterectomy Type Affect Anesthesia Options?
Anesthesia | Preventing Post-op Nausea after Hysterectomy
Anesthesia | Sedation vs. General Anesthesia
Anesthesia | Spinal vs. Epidural
Anesthesia | Talking to the Anesthesiologist before Your Hysterectomy
Anesthesia | What Are the Different Types?
Anesthesia | What Happens if My Hysterectomy Is Longer than Planned?
Anesthesia | What if My Hysterectomy Is Converted from Laparoscopic to Abdominal?
Anesthesia | When Will I Wake Up After My Hysterectomy?
Anesthesia | Which Anesthesia Is Best for Hysterectomy?
Anesthesia | Will Spinal or Epidural Anesthesia Put Me to Sleep?
Appendectomy with Hysterectomy
Assistance after Hysterectomy
Birth Control Pills before Hysterectomy
Blood Clots, Blood Thinners, and Hysterectomy
Blood Transfusions and Hysterectomy: What You Need to Know
Bowel Prep before Hysterectomy
Bowel Prep before Hysterectomy | No Instructions
Calming a Scared Husband before Hysterectomy
Can Endometriosis Return after a Hysterectomy?
Choosing a Hysterectomy Surgeon
Chronic Health Concern and Hysterectomy
Coping with Anxiety and Fear before Hysterectomy
Diabetes and Hysterectomy
Do I Need a Second Opinion for My Hysterectomy?
Do This - Not That: Bowel Prep Tips for Hysterectomy
Do This - Not That: Coping with Pre Hysterectomy Fear and Anxiety
Do This - Not That: Managing Pain Before Hysterectomy
Do This - Not That: Preparing for Hysterectomy
Do This - Not That: Your Last Period Before Hysterectomy
Do This - Not That: How Hubby Can Help
Donating Your Own Blood before a Hysterectomy
Expectations vs. Reality of Hysterectomy
Explaining Hysterectomy to Your Child
Explaining Your Hysterectomy to Children
Family Medical Leave Act (FMLA) and Hysterectomy
Fasting Before Hysterectomy -- Do I Have To?
Fear of Embarrassment during Hysterectomy
Feeding Your Family During Hysterectomy Recovery
Fibromyalgia and Hysterectomy
First Surgery | Hysterectomy
Frustrated with Non-Supportive Family and Friends before Hysterectomy
Gastric Bypass and Hysterectomy
Get an Advocate for Hysterectomy!
Girls' Night Out before Hysterectomy
Grieving Before My Hysterectomy
Having a Hysterectomy. What Do I Need to Know?
Having Hysterectomy at a Teaching Facility: Pros and Cons
Helping Hubby Understand your Hysterectomy
Herbal Supplements and Hysterectomy
HIPAA and Hysterectomy
Hospital Stay for Hysterectomy
Hospital Stay? How Long after Hysterectomy?
How to Help a Hysterectomy Patient
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Hysterectomy Advice from a Post-Op HysterSister | Part 2
Hysterectomy Advice from a Post-Op HysterSister | Part 3
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Hysterectomy FAQ for Family and Friends | Part 2
Hysterectomy FAQ for Family and Friends | Part 3
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If Your Hysterectomy is Your First Surgery | Part 1
If Your Hysterectomy is Your First Surgery | Part 2
If Your Hysterectomy is Your First Surgery | Part 3
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Is Waiting the Hardest Part of a Hysterectomy?
Liquid Diet | What Can I Eat Before Hysterectomy?
Make Ahead Frozen Meals for Hysterectomy Recovery


Page Created at 07-31-2007 - 01:57 AM, Last Modified 06-26-2013 - 10:48 AM
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