Total Laparoscopic Hysterectomy
There are several reasons why a hysterectomy may be recommended, including heavy periods, fibroids (a benign growth of muscle and fibrous tissue) in the womb and some gynaecological cancers. When women suffer a prolapse (where the womb slips down into the vagina) a vaginal hysterectomy with pelvic floor repair may be advised. For many women, however, the conventional operation is performed through a large cut to the lower abdomen as an abdominal hysterectomy.
The Total Laparoscopic Hysterectomy operation has completely changed the way a hysterectomy operation is performed
In 2010 Dr Cameron Martin introduced Total Laparoscopic Hysterectomy (TLH) to Spire Murrayfield Hospital in Edinburgh and performs more of these procedures than any other consultant in Scotland within the private sector. Indeed Dr Martin was the first consultant in Scotland to ever perform a TLH through one single incision at the tummy button.
The TLH operation has completely changed the way a hysterectomy operation is performed. It is usually performed through just three tiny incisions in the abdominal wall and women generally stay in hospital for one or two nights. Patients normally require fewer painkillers and should be able to return to normal activity much quicker than following abdominal hysterectomy. Scarring is minimal and because the neck of the womb (the cervix) is also removed, smear tests are no longer required. If the ovaries are conserved (this decision is made pre-operatively) there is unlikely to be a requirement for hormone replacement therapy (HRT). Many women who require a hysterectomy (except patients with ovarian cancer) may be suitable for a TLH. Dr Martin would advise on the most appropriate surgical method at the initial consultation. Remember that for women with heavy periods there are often a number of other options to consider before deciding on hysterectomy for example a hormone-releasing coil.