At Coastal Women’s Health in Gosford, our experienced Central Coast gynaecologist, Dr. Raouf
Farag, is highly experienced in performing total laparoscopic hysterectomies and has been
performing these for decades on the Central Coast. This advanced technique offers several benefits
compared to traditional open hysterectomy surgery, including shorter recovery times, reduced
postoperative pain, and a lower risk of complications.
What is a Total Laparoscopic Hysterectomy?
A total laparoscopic hysterectomy is a minimally invasive surgical procedure performed by gynaecologist to remove the uterus, including the cervix. This procedure is commonly recommended
for women experiencing various uterine conditions, such as uterine fibroids, abnormal uterine
bleeding, endometriosis, or uterine prolapse.
During a total laparoscopic hysterectomy, Dr. Farag makes several small incisions in the abdomen
and inserts a tiny camera (laparoscope) and surgical instruments to detach and remove the uterus.
This minimally invasive approach allows him to perform the procedure without making a large
incision in the abdomen, as is required for a traditional open hysterectomy.
How long is the surgery?
The surgery typically takes 1-2 hours to complete, and most patients can expect to stay in the
hospital for 1-2 days after the procedure. Recovery time is generally faster than with open
hysterectomy, with many women able to return to their normal activities within 2-4 weeks.
What does recovery look like?
After the surgery, patients may experience some discomfort, including abdominal pain, cramping,
and vaginal bleeding. The medical team at Coastal Women’s Health will provide pain medication and instructions for managing these common post-operative symptoms.
It’s important for patients to follow the post-operative instructions provided by Dr. Farag, which may
include:
- Resting and avoiding strenuous activity for the first few weeks
- Gradually resuming normal activities and exercise as directed
- Attending follow-up appointments to monitor healing and recovery
- Discussing any concerns or questions with your medical team
In addition to the physical recovery, some women may also experience emotional or psychological
changes after a hysterectomy. The team at Coastal Women’s Health and Dr Farag are committed to
providing comprehensive support and resources to help patients navigate this transition.
Will a Total Laparoscopic Hysterectomy trigger Menopause?
A total hysterectomy removes the uterus, including the cervix. Despite the name, this surgery does
not remove everything – the ovaries are typically left in place but we prefer removal of the fallopian
tubes as it does decrease the risks of ovarian carcinoma.
It’s important to understand that the removal of the ovaries, not just the uterus, is what causes
menopause. If the ovaries are left intact during the hysterectomy, the patient may experience
temporary menopausal symptoms due to the disruption of blood flow, but they will not immediately
enter full menopause.
In some cases, such as cancer, infection or adhesions, the ovaries and fallopian tubes may also need
to be removed in a separate procedure called a salpingo-oophorectomy. This is done less commonly during a routine hysterectomy.
Overall, a total laparoscopic hysterectomy performed by an experienced Central Coast gynaecologist like Dr. Raouf Farag at Coastal Women’s Health can be a safe and effective treatment option for
women with various uterine conditions. By leveraging the latest minimally invasive techniques,
patients can expect a faster recovery and a return to their normal activities with reduced discomfort
and complications.
If you have any questions or concerns about a total laparoscopic hysterectomy, the team at Coastal
Women’s Health is here to provide the personalised, compassionate care you deserve. Contact us
today to schedule a consultation and learn more about your options.
All patients will have a careful counselling and other options of management will be discussed.
Costs:
All in-hospital procedures will be covered by medical funds and Medicare.