What is a Total Laparoscopic Hysterectomy (TLH)?
Every hysterectomy involves removal of the uterus, and sometimes the ovaries are removed with the uterus (oophorectomy). But, each hysterectomy should be done by the most appropriate route, in the least debilitating way, allowing the speediest recovery of function. Total Abdominal Hysterectomy (TAH): This most commonly performed surgery requires a four to eight inch abdominal incision to remove the uterus, and ovaries, if needed. It can be done for any size uterus, regardless of whether she has had children (which relaxes and loosens the pelvic organ connections and widens the vagina). There will be a four to eight inch abdominal scar, either sideways or up-and-down, as required for the specifics of each case. This procedure usually entails four to six days in the hospital and four to six weeks away from work to recover. It is the least preferred route by patients because of the hospital stay, abdominal scar, pain, and disability; but it is sometimes the only route possible. Virtually
