© Copyright 2026 American Medical Association. All rights reserved.
A total laparoscopic hysterectomy (TLH) is a minimally invasive surgical procedure aimed at removing the uterus, specifically when it weighs more than 250 grams. This procedure is performed using a laparoscope, which is a thin, lighted tube inserted through small incisions in the abdomen. The primary goal of a TLH is to treat various gynecological conditions that may necessitate the removal of the uterus, such as fibroids, abnormal bleeding, or other uterine disorders. The procedure typically involves the removal of the uterus through the vagina; however, if the uterus is too large to be removed intact, it may be morcellized, meaning it is broken down into smaller pieces for easier extraction. Prior to the procedure, a urinary catheter is placed to facilitate bladder management during surgery. The use of laparoscopic techniques allows for reduced recovery time, less postoperative pain, and minimal scarring compared to traditional open hysterectomy methods. The procedure is carefully executed with the aid of various instruments and techniques to ensure the safety and effectiveness of the surgery.
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