Laparoscopic Hysterectomy - Procedure, Benefits, Recovery

Laparoscopic Hysterectomy

Treatment Duration


45 Minutes

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60 Minutes

Treatment Cost



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Laparoscopic Hysterectomy

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What is Laparoscopic Hysterectomy procedure?

Hysterectomy is the surgical method to remove the uterus. It was first performed in the late 1990s. At that time, it was done by using either an abdominal or vaginal incision. However, due to recent advancements in technologies, nowadays laparoscopic surgery is being more commonly performed with the help of advanced instruments.

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Benefits of Laparoscopic Hysterectomy

  1. Significantly less pain.
  2. Less blood loss.
  3. Fewer complications.
  4. Less scarring.
  5. A shorter hospital stay.
  6. A faster return to normal daily activities.
  7. Decreased risk of infection.

Who needs Laparoscopic hysterectomy procedure?

Why is this procedure done? 

  1. Laparoscopic hysterectomy may be performed to treat several conditions, such as:
  2. If there is heavy or abnormal vaginal bleeding that is not treated by other means
  3. When menstrual pain becomes abnormal and is not controlled by any other treatment
  4. If there is the presence of any non-cancerous tumours in the uterine
  5. If the supportive muscles of the uterus are weak and descended in the vaginal canal
  6. Severe pain in the pelvis that is not treated by any other treatments.
  7. Polyps and Fibroids removal
  8. Asherman Syndrome
  9. Septum in the uterus

What will happen if surgery is delayed? 

  1. If the laparoscopic hysterectomy is not done,  it may lead to anaemia.
  2. The symptoms include fatigue, weakness, and irregular heartbeats.
  3. Fortunately, it can be reversed by eating a good nutritional diet.
  4. Taking an iron supplement is an excellent alternative. Menstrual pain and other symptoms due to uterine disorders also reduce the quality of life.


Laparoscopic Hysterectomy

This procedure is done with the help of a laparoscope. It is a thin, flexible tube with a camera at the end.

The surgery is done through the following steps:

  1. The anesthesiologist will administer general anaesthesia to prevent any pain or discomfort during the surgery.
  2. The surgeon will then make a small hole in the abdomen near the belly button.
  3. Gas is filled to inflate the abdominal cavity. Generally, medical-grade carbon dioxide gas is used for this purpose.
  4. He then inserts a laparoscope to view the internal organs. Once the site of surgery is identified, the doctor then makes a few small incisions.
  5. The doctor then inserts different surgical tools to remove the uterus.
  6. The surgeon removes the uterus in small parts through small incisions. In some cases, the doctor may also remove the small arts of the uterus through the vagina.
  7. After the removal of the uterus, the doctor closes the incisions and covers them with bandages.
  8. The patient may be discharged on the same day or one day after the surgery.
  9. The recovery is fast with laparoscopic hysterectomy as compared to abdominal hysterectomy.

What to expect before surgery? 

  1. Before surgery, the surgeon may advise you to go through some tests to check the presence of cancer in the body of the patient. The result of the test decides the type of surgery that is being used by the surgeons. Following tests are needed to be done before surgery. 
  2. PAP Test: It is also known as cervical cytology. It determines the presence of abnormal cells in the cervix.
  3. Endometrial biopsy: This test is done to detect the presence of any cancerous cells in the uterine lining. It is done to confirm endometrial cancer.
  4. Pelvic ultrasound: This test helps detect the fibroids present in the uterus. It also helps in estimating the size of fibroids. In addition, it is done to check for ovarian cysts and endometrial polyps.

What to expect on the day of surgery? 

  1. The doctor may ask the patient to follow the following instructions before the surgery starts.
  2. The doctor may ask not to smoke, drink, or eat after midnight of the day before surgery. 
  3. Doctors may ask you to remove jewellery from your body before the operation.
  4. You will be asked to wear loose clothes. Usually, the hospital provides a gown to wear in the operation theatre.
  5. Wear low-heeled shoes as they will help in balancing yourself. You may feel drowsy from the effect of anaesthesia and may feel unsteady on your feet. 

What to expect during surgery?

  1. The procedure is performed under general anaesthesia.
  2. However, anaesthetic techniques can vary from each other.
  3. The operational procedure may take around 90-95 minutes.
  4. First, a tiny cut is made near the belly button by the gynaecologist.
  5. An instrument is inserted through this cut.
  6. Gynaecologists insert surgical instruments through these cuts.
  7. A telescope is also inserted to see inside and guide the surgeons during the operation.
  8. The surgeon may need to insert the device through the vagina to remove the uterus.
  9. The patient is connected to the ECG machine, which continuously tells the heartbeat and heart rate of the patient to the surgeons. 


Recovery and post op Care

What to expect after Surgery?

  1. You can expect the following things:
  2. Soreness around the cuts
  3. Pain in your shoulder is caused by pressure from the gas in the belly
  4. You will be given pain-relieving medications. Make sure you have someone to take you back home.
  5. You can return to your regular activities within two to four weeks depending on your recovery.

First follow up appointment

Your first follow up appointment will be around two to eight weeks after the surgery to assess your healing and recovery.


Recovery and Post op care after the surgery

What to expect after surgery? 

Immediately after the surgery, the patient is sent to the restroom and asked to rest there for some time. The staff will monitor the signs of pain. Doctors will provide medicines for reducing pain and preventing infection. The doctor will ask you to use a sanitary pad for vaginal bleeding for a few days. 

First follow-up appointment

The patient can go home once the gynaecologist certifies that the patient is fit and fine. It is generally either the same day or the next day of the surgery. The patient is asked to rest for two days, and then they should start following the exercise routine as prescribed by a doctor. You can resume work once the doctor certifies that you are fit to go for that, depending upon the type of work that you do. You can return to work generally after 4-6 weeks. After 2-3 months, you will start feeling back to normal depending upon your job sector and daily routine.


Symptoms of Piles, Fissures and Fistula

Piles are swollen blood vessels in the rectum, a fistula is when the anal region and the skin form an irregular canal, and fissures are cuts in the anal lining. Therefore, the common symptoms of piles, fissures and fistula are:

Piles Fistula  Fissure

The anus is sore with redness 

Anorectal pain with swelling in the anus A clear visible tear around the anus

Pain while passing stools

Pain while passing stools  Severe pain before and after excretion 

Presence of mucous discharge

Discharge of pus  Blood-stained and hard stools

Bleeding (Often Painless)

Skin irritation and redness Cracked skin around the anal area

Feeling constipated

Foul-smelling fluid in the anal area Small lump or skin tag

Itchiness around anus

Tiredness and fever Discharge with bad odour

Tenderness in the anal region

Bleeding from the rectum Itching and Irritation around the anal area

It is crucial to identify these symptoms immediately and consult your nearest doctor for immediate treatment. If you notice any of the symptoms, please seek help from your Doctor.

Risk and Complication of the procedure

When to Consult a Doctor? 

  1. Immediately consult a doctor if there are any following signs and symptoms. 
  2. If the pain is not reducing even after using the medicines
  3. A persistent cough that does not go away.
  4. If you are experiencing difficulty in drinking and eating
  5. If you have continuous bleeding from the vagina that is not normal
  6. If you have swelling and redness in one of the legs
  7. If you are unable to urinate or feeling pain during urination
  8. If you are having difficulty in breathing
  9. Persistent fever above 100.50F
  10. Bleeding
  11. Infection 

Expert Doctors

Dr. Dr. Sowjanya Aggarwal

Infertility and IVF, Obstetrics And Genecology

19 Years




Dr. Dr. Shipra Gupta

Obstetrics And Gynaecology

25 Years




NABH Accredited Hospitals

Akanksha IVF Centre, Janakpuri

Akanksha IVF Centre, Janakpuri

4.94/5(80 Ratings)
Janakpuri, Delhi
Alpine Hospital

Alpine Hospital

4.91/5(91 Ratings)
Sector 15, Gurgaon

Frequently Asked Questions (FAQ)

Although the stay in hospital depends upon the type of surgery and health condition of an individual. • If surgery is done via the vagina or with a laparoscope or with robotic-assisted technology then you can go home the next day of the procedure. • You may have to stay in the hospital for 2 to 3 days for medical observation if a large surgical cut/incision is made in the abdomen.
The average cost ranges from Rs.1 to 1.5 Lakhs. The exact cost is dependent upon the specific hospital, surgical method, instruments, equipment and variety of factors related to an individual’s health condition.
This is a major surgery however new technological advances, subject matter expertise and improvement in medical care services have considerably reduced discomfort, risk of infection and recovery time.
After successful surgery, It is normal to experience some tiredness and pain during the initial few days. Bloody discharge from the vagina for some days or even a couple of weeks is normal. Doctors will prescribe some medications and therapy like wearing a heating pad to minimise the pain and ease the recovery process. The majority of patients get back to their usual activities within 6- 8 weeks of abdominal hysterectomy however the recovery time entirely depends upon the surgical method and underlying or post-operative health condition of the patient. It is important to follow post-operative guidelines and care for early recovery. Vaginal hysterectomy has a shorter recovery time i.e. around three to four weeks in most cases.
The operating surgeon will inspect and advise treatment as per the patient’s previous medical history and underlying health condition. There are no known permanent contraindications or untreatable medical effects of hysterectomy. Hysterectomy in certain cases is avoided where the patient has a history or risk of malignancy or may have enlarged uterus and dense pelvic adhesions.
It is a lifesaver for many women who are at the risk of developing uterine cancer and have cancerous growth in the womb, ovaries or cervix. Some women simply can’t sustain discomfort from fibroids and pain due to abnormal heavy bleeding. Hysterectomy could be the ultimate solution to relieve pain forever, avoid severe endometriosis or prolapse (sagging) of the uterus. This should be only the last resort and these conditions can be treated otherwise too. The cause of discomfort or pain may be due to other factors hence, the correct diagnosis is important. Only the treating doctor can be the true judge if hysterectomy is suitable for the patient or not.
This is a surgery with a permanent change in the body of a female hence the decision to get this procedure done has to be medically justified and should be the last line of action. It is highly discouraged for women of age up to 40 years as they have a scope of bearing pregnancy. The chances of pregnancy reduce after 40 - 45 years of age so this procedure could be proactively considered for females in their late 40s and above, provided the individual has fulfilled her choice of bearing children and it is necessary for her to continue healthy and comfortable living. Consent of a patient of any legal age is necessary irrespective.
Physical Pain : Some discomfort will surely be there for a few days. The severity and longevity of pain depend upon the surgical method and individual health condition. The patient may experience pain, swelling, redness, burning or itching sensation, numbness near the incision site or below downwards. If total hysterectomy i.e. ovaries removal is done then the patient may experience symptoms of menopause like hot flashes, vaginal dryness, insomnia and night sweats. If this is done before the natural menopause stage then there is a risk of developing osteoporosis and heart disease. Emotional Side Effects : A feeling of depression is commonly noticed for a few weeks or even longer. The fact that she will not be able to bear pregnancy or childbirth is something too heavy a burden for them to accept and move on. This notion of regret may linger on for a very long time but an individual must focus on the merits of hysterectomy and why it was done in the first place to overcome this sadness. The best and natural way to heal this mental state is to talk it out with your loved ones like partners, parents, family, doctors and counsellors who can give emotional support and comfort.
This procedure permanently removes the uterus from the body which is a reproductive organ hence the individual will never be able to get pregnant / have biological children. One will also experience menopause which for some will happen at an early age as compared to later age naturally. There will be no menstrual periods and most importantly relief from reasons why hysterectomy was opted and done. Slight depression or a feeling of regret may occur due to loss of femininity which may pass on the realisation of medical benefits otherwise. Most females overcome this with emotional and progressive support and counselling. She must not hesitate to talk it out. Even more important is that her close loved ones must not hesitate to help, console and talk it out to win over this challenging situation.

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