Laparoscopic hysterectomy

Laparoscopic hysterectomy - removal of the uterus with a minimally invasive method.
Hysterectomy is the most frequently performed operation in gynecology. Laparotomy - the open method - should be performed only when transvaginal or laparoscopic access is not possible.
LASH (Laparoscopic supracervical hysterectomy). Laparoscopic supracervical removal of the uterus. It is the most sparing type of hysterectomy, recommended for patients expecting the least possible surgical intervention. The condition for its conduct is documented correct cytology results. Symptomatic uterine fibroids or adenomyosis causing abnormal bleeding are the most common indications for this type of surgery. This operation consists of laparoscopic removal of the uterine body, leaving the cervix and removing it by means of morcellation. Due to the retention of the cervix after LASH, it is necessary to undergo regular Pap smears.
TLH (total laparoscopic hysterectomy), i.e. total laparoscopic hysterectomy, is a procedure involving the removal of the entire organ: the body and the cervix. This operation allows the uterus to be removed without opening it up. The indications for this operation are uterine fibroids, adenomyosis and others, but also atypical growths of the uterine mucosa, including poorly advanced endometrial cancer.
Dr. Emilia Gąsiorowska, MD, PhD, gynecologist, obstetrician, oncologist