Minimally invasive keyhole hysterectomy performed by an experienced consultant specialist, offering less pain, smaller scars, and faster recovery than open surgery.
A hysterectomy is an operation to remove the uterus (womb). A laparoscopic hysterectomy achieves this through several small incisions rather than a single large cut, using a narrow camera and surgical instruments to carry out the procedure with significantly less trauma to the body. Depending on your circumstances, the cervix and ovaries may be removed at the same time or left in place. It is the preferred approach for women who are suitable candidates, offering a shorter hospital stay and quicker return to normal life.
Fibroids causing significant symptoms unresponsive to other treatment
Endometriosis where other treatments have failed
Heavy menstrual bleeding not controlled by medication
Uterine prolapse
Gynaecological cancer or pre-cancerous conditions
Your consultant will carry out a thorough assessment to confirm whether a hysterectomy is the most appropriate option for your condition, and discuss the alternatives available to you.
The operation is performed under general anaesthetic and takes approximately one hour. Four small incisions are made in the abdomen, through which a laparoscope and surgical instruments are introduced. Carbon dioxide gas is used to inflate the abdomen and improve visibility. The uterus is detached from its surrounding structures and removed through the vagina, after which the top of the vagina is closed with sutures. Most patients are discharged within one to two days.
At London Pregnancy Care and Gynaecology, care is delivered by experienced consultant specialists with a focus on personalised treamtent, continuity of care, and clear, supportive guidance.
In a total hysterectomy, both the uterus and cervix are removed. In a subtotal hysterectomy, the uterus is removed but the cervix is left in place. The ovaries may be removed or retained depending on your age and the reason for the operation. Your consultant will discuss which approach is most appropriate for your circumstances.
The procedure is carried out under general anaesthetic. Four small incisions — each less than 1cm — are made in the abdomen. Carbon dioxide gas is introduced to lift the abdominal wall and provide a clear view of the internal organs. A laparoscope is inserted through the incision at the navel, and surgical instruments are passed through the remaining incisions. The uterus is detached and removed through the vagina, and the top of the vagina is then closed with sutures.
Laparoscopic hysterectomy offers less post-operative pain, smaller and less noticeable scars, reduced blood loss, a shorter hospital stay of typically one to two days compared with three to four days for open surgery, faster wound healing, and an earlier return to normal activities and work.
As with all surgical procedures, there are small risks including reaction to anaesthetic, bleeding, infection, and injury to surrounding structures. Serious complications are uncommon. Your consultant will discuss the specific risks relevant to your procedure in detail at your consultation.
You will be given pain relief and prescribed tablets to take home. Rest is advised in the initial recovery period, and strenuous activities should be avoided. A follow-up appointment is arranged four to six weeks after surgery to check wound healing and discuss the pathology results from examination of the removed tissue.
Yes. Depending on your condition and symptoms, there may be surgical or non-surgical alternatives. Your consultant will discuss all available options with you so you can make an informed decision about your care.
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