Total Laparoscopic Hystrectomy

Right up until recently, most gynecologists have shied from carrying out total laparoscopic hysterectomy (TLH) due to the technical challenges and prolonged operating times which are related to it. Instead, they have preferred to do laparoscopically assisted vaginal hysterectomy (LAVH), a comparatively inefficient three-part technique made up of a preliminary laparoscopic phase, then a vaginal phase, and, finally, another laparoscopic phase.

Now it is believed that it has the possibility being the method of choice for any great proportion of hysterectomy cases, specifically in those situations - for example once the pubic angle is narrow, the vagina small, or the uterus high and immobile - in which LAVH includes a reduced chance of success. Simultaneously, however, it is realized that wider adoption of TLH would depend about the growth and development of new tools to facilitate the colpotomy part of the operation, and on the development of a simplified technique that could reduce complications and operative time period.