Hysterectomy and Gynaecological Laparoscopy

Many gynaecological conditions can now be treated with laparoscopic (keyhole) surgery. These include removal of ovarian cysts, fibroids (myomectomy), treatment of endometriosis and, when needed, removal of the uterus (hysterectomy).

A hysterectomy may be done laparoscopically, through the vagina or through an abdominal cut. Your gynaecologist will discuss which approach is best for you, and whether treatments that preserve the uterus are suitable.

• Heavy or prolonged menstrual bleeding not controlled by medicines
• Large or troublesome fibroids
• Ovarian cysts
• Endometriosis causing pain
• Uterine prolapse
• Pre-cancerous or cancerous conditions of the uterus or cervix

• Relief from heavy bleeding, pain and pressure symptoms
• Keyhole surgery means less pain and faster recovery
• Uterus-preserving options for women who wish to have children

Before the procedure

Ultrasound, blood tests and sometimes a Pap smear or biopsy are done. The options, including non-surgical treatment, are discussed with you.

During the procedure

Under general or spinal anaesthesia, the surgery is done laparoscopically, vaginally or through an abdominal cut, depending on the condition.

After the procedure

Most patients walk the next day. Hospital stay is usually shorter after keyhole surgery.

Recovery after laparoscopic surgery usually takes two to four weeks; after open surgery, about six weeks.

• Avoid heavy lifting and strenuous exercise until advised
• Avoid intercourse until your doctor says it is safe, usually about six weeks after hysterectomy
• Report heavy bleeding, fever or worsening pain