TLH (Total Laparoscopic Hysterectomy): Procedure Overview – Bihar’s Trusted Choice

Total Laparoscopic Hysterectomy (TLH) is a modern, minimally invasive surgery to remove the uterus for conditions like fibroids, heavy periods, endometriosis, or early-stage cancer. TLH is increasingly chosen by women in Patna, Bihar Sharif, and across Bihar for faster recovery, minimal pain, and better cosmetic results.

Why TLH Surgery?

• Common Reasons: Uterine fibroids, adenomyosis, severe bleeding, endometriosis, early-stage gynecological cancer, or pelvic pain.

• Who needs TLH? Patients suffering from prolonged bleeding, pain, or non-cancerous growths unresponsive to medicine.

Step-by-Step TLH Procedure

1. Pre-Op Preparation

   • Medical assessment, blood tests, and anesthesia review.

   • Fasting prior to operation day.

2. Anesthesia & Positioning

   • Performed under general anesthesia with legs supported for access to the pelvic region.

3. Small Incisions & Instrument Placement

   • 3–4 tiny cuts (about 1 cm each) on the abdomen.

   • Laparoscope (camera) and thin surgical instruments inserted for visual guidance.

4. Uterus Detachment

   • Surgeon gently detaches the uterus from surrounding tissues.

   • Ovaries and tubes may be removed as needed.

5. Uterus Removal

   • Uterus/target tissue is removed vaginally or through a small abdominal incision.

6. Closure

   • Small incisions stitched with dissolvable sutures.

   • Patient spends about 1–2 days in hospital for recovery.

Recovery and Benefits

• Quick Recovery: Most women walk within hours and are home in 1–2 days.

• Minimal Scarring & Pain: Cosmetic results; less need for heavy painkillers.

• Low Infection Risk: Small wounds heal faster and safer.

• Early Return to Routine: Able to resume daily work and chores in 7–10 days.

• Fewer Complications: Less blood loss, rapid healing, quicker hospital discharge.

TLH vs. Open Surgery

Feature	TLH (Laparoscopic)	Open Surgery
Incisions	3–4 small (1 cm)	10–15 cm large cut
Recovery Time	7–10 days	3–4 weeks
Pain	Less	More
Hospital Stay	1–2 days	4–6 days
Scarring	Minimal	Visible, larger
Infection Risk	Low	Higher

Why Choose Ashirvad Healthcare?

• 30+ years trust in Bihar’s surgical care

• Experienced gynecological & laparoscopic surgeons

• Modern operation theaters, strict infection control

• Digital follow-ups (WhatsApp support)

• Affordable pricing and cashless insurance for TLH surgery