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  • Q&A with Australian Health Practitioners

    What are the benefits of a laparoscopic hysterectomy compared with an abdominal hysterectomy?

    Related Topics
    Vulval Conditions Women's Health
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  • 2

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    Dr Ken Law

    Gynaecologist, Gynaecologist - Infertility (IVF) Specialist, Obstetrician

    Dr Ken Law is an Obstetrician and Gynaecologist in Brisbane, operating out of Greenslopes Private Hospital, delivering babies at Greenslopes Maternity. He has special interests … View Profile

    The benefits include a faster recovery, less post-operative pain, shorter hospital stay and quicker return to normal activities.
    There are also cosmetic benefits, because instead of having a long scar on your abdomen, you only have three or four small incisions, only 5 to 10 mm long.

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  • 2

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    Dr Yogesh Nikam

    Gynaecologist, Laparoscopic Surgeon, Obstetrician

    Dr Yogesh A Nikam is a Specialist Gynaecologist, Laparoscopic and Robotic Surgeon who understands that no woman’s body or experiences are the same, which is … View Profile

    Hi

    The benefits of Laparoscopic Hysterectomy ( keyhole surgery ) are significant. As compared to an Abdominal Hysterectomy (open cut surgery), Laparoscopic Hysterectomy has following benefits

    1. Less pain and, therefore, less need for pain medications

    2. Shorter and Faster recovery means you can go to work sooner. You can be discharged from the hospital the next day. This is not possible with a large cut on the tummy.

    3. Less risk of infection & post operative adhesions as surgery is performed in a closed environment

    4. Less risk of blood loss as the vision is magnified and surgery is meticulous

    5. Less risk of a hernia ( bulge in the scar) as the cuts are tiny ( 5 - 10mm). A midline straight cut has a high chance of hernia formation requiring further surgeries.

    6. Cosmetically better as the scars are barely visible

    However, keep in mind, in select cases abdominal surgery may be needed, particulary if hsyterectomy is for cancer. 

    Hope this helps

    Dr Yogesh Nikam

    www.aevafem.com.au

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  • Dr Angamuthu Arun

    Gynaecologist

    Dr Arun offers specialised service in the following areas: Holistic approach in the management of Urinary Incontinence including Urodynamics for women Botox injections to bladder … View Profile

    I agree with this.

    However, if vaginal hysterectomy is feasible, this would be superior to laparoscopic hysterectomy as the three trials suggest that oeration time, recovery time, blood loss and hospital stay are much less.

    Vaginal hysterectomy had the shortest operating time, the shortest hospital stay and least drop in Hb making it a preferred technique for benign gynaecological disease if technically feasible.

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