October 29, 2022 0

Vaginally, abdominally, laparoscopically, or using a mix of these techniques is one way to do a hysterectomy. A total laparoscopic hysterectomy (TLH) is a sophisticated medical procedure that comprises laparoscopic (keyhole) surgery to remove the uterus and cervix. Depending on the purpose for surgery, ovaries and fallopian tubes may or may not be removed. Other procedures, such the correction of a prolapse, etc., may be coupled with this one.

For women with painful or frequent periods, pelvic pain, endometriosis, fibroids, prolapse, endometrial difficulties, or cervical issues, TLH surgery may be the best option.

Normal TLH procedures involve general anaesthesia. A catheter (a tube for urine drainage) is put into your bladder after you have received a general anaesthetic and are unconscious. Near your navel, a 1 cm-long tiny cut is done (belly button). The belly is inflated with gas, and a laparoscope, an optical device that allows for the viewing of internal organs, is introduced before three additional small cuts, each measuring around 0.5 cm, are made on your abdomen. These incisions are for the additional surgical equipment. Most often, the vagina is used to remove the uterus and cervix. The uterus is divided into pieces and removed vaginally if it is too large to be removed vaginally or the vagina is too small.

The surgery lasts between one and two hours, but you should plan on spending around three hours in the theatre and recovering.

Your recovery time (including hospital stay) and post-operative pain are both shortened with TLH.

Some advantages of TLH include:

  • Compared to “open” (conventional) surgery, there is less pain following the procedure.
  • less problems from wounds.
  • less interference with bowel and urinary function.
  • Reduced danger of deep vein thrombosis (DVT).
  • quicker recovery (including hospital stay) than with other hysterectomy procedures.
  • Compared to other types of hysterectomy surgery, less discomfort following your procedure.

The TLH process is a complicated set of processes that must be done correctly in order to provide successful outcomes. Only highly skilled gynaecologists with extensive training are capable of performing it. The patients of Gwalior and the surrounding areas can get assistance from Drs. Veena and Sonali Agrawal, who are skilled gynaecologists with training in performing TLH.


September 27, 2022 0

Vaginally, abdominally, laparoscopically, or using a mix of these techniques is one way to do a hysterectomy. A total laparoscopic hysterectomy (TLH) is a sophisticated medical procedure that comprises laparoscopic (keyhole) surgery to remove the uterus and cervix. Depending on the purpose for surgery, ovaries and fallopian tubes may or may not be removed. Other procedures, such the correction of a prolapse, etc., may be coupled with this one.

TLH surgery could be the best option for women dealing with heavy or painful periods, pelvic pain, endometriosis, fibroids, prolapse, endometrial or cervical problems.

TLH is normally carried out under a general anaesthesia. After you have been given a general anaesthetic and you are asleep, a catheter (a tube for urine drainage) is inserted into your bladder. A small cut about 1 cm is made near your navel (belly button). The abdomen is filled with gas and an optical instrument, called a laparoscope, is inserted to allow the internal organs to be viewed before three further small cuts, about 0.5 cm each, are made on your abdomen. These cuts are for other instruments to be used during the surgery. In most cases the uterus and cervix are removed through the vagina. If the uterus is too large to remove vaginally, or the vagina is too narrow, then uterus is cut in pieces and removed vaginally.

The procedure takes about 1 to 2 hours, but you can expect to be in theatre and recovery for about 3 hours.

TLH reduces your recovery period (including hospital stay), reduces the pain and discomfort after your surgery.

Some benefits of TLH are:-

  1. Less pain after surgery than having ‘open’ (traditional) surgery.
  2. Fewer wound complications.
  3. Less disruption to bowel and bladder function.
  4. Lower risk of Deep Vein Thrombosis (DVT).
  5. Shorter recovery period (including hospital stay) compared to other forms of hysterectomy surgery.
  6. Lesser discomfort after your surgery compared to other forms of hysterectomy surgery.

The procedure of TLH is a complex series of steps taken in the right direction to derive fruitful results. It can only be carried out by expert gynaecologists, practicing their craft for a long period of time. Dr. Veena Agrawal and Dr. Sonali Agrawal are expert gynaecologists who trained in carrying out TLH and can help the patients of Gwalior and nearby regions.


September 24, 2020 0

Hysterectomy can be carried out vaginally, abdominally, laparoscopically or in a combination of these. Total Laparoscopic Hysterectomy (TLH) is an advanced surgical technique which involves removing the uterus and cervix using keyhole (laparoscopic) surgery. Ovaries and fallopian tubes may or may not be removed depending on the reason for surgery. This procedure may be combined with other procedures, such as repair of a prolapse, etc.

TLH surgery could be the best option for women dealing with heavy or painful periods, pelvic pain, endometriosis, fibroids, prolapse, endometrial or cervical problems.

TLH is normally carried out under a general anaesthesia. After you have been given a general anaesthetic and you are asleep, a catheter (a tube for urine drainage) is inserted into your bladder. A small cut about 1 cm is made near your navel (belly button). The abdomen is filled with gas and an optical instrument, called a laparoscope, is inserted to allow the internal organs to be viewed before three further small cuts, about 0.5 cm each, are made on your abdomen. These cuts are for other instruments to be used during the surgery. In most cases the uterus and cervix are removed through the vagina. If the uterus is too large to remove vaginally, or the vagina is too narrow, then uterus is cut in pieces and removed vaginally.

The procedure takes about 1 to 2 hours, but you can expect to be in theatre and recovery for about 3 hours.

TLH reduces your recovery period (including hospital stay), reduces the pain and discomfort after your surgery.

Some benefits of TLH are:-

  1. Less pain after surgery than having ‘open’ (traditional) surgery.
  2. Fewer wound complications.
  3. Less disruption to bowel and bladder function.
  4. Lower risk of Deep Vein Thrombosis (DVT).
  5. Shorter recovery period (including hospital stay) compared to other forms of hysterectomy surgery.
  6. Lesser discomfort after your surgery compared to other forms of hysterectomy surgery.

The procedure of TLH is a complex series of steps taken in the right direction to derive fruitful results. It can only be carried out by expert gynaecologists, practicing their craft for a long period of time. Dr. Veena Agrawal and Dr. Sonali Agrawal are expert gynaecologists who trained in carrying out TLH and can help the patients of Gwalior and nearby regions.

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