CPT® Code 58573

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 typically indicated for conditions such as uterine fibroids, abnormal bleeding, or other gynecological issues that necessitate the removal of the uterus. The surgery is performed using a laparoscope, which is a thin, lighted tube inserted through small incisions in the abdomen, allowing the surgeon to view the internal organs on a monitor. In cases where the uterus is too large to be removed intact, it may be morcellized, meaning it is broken down into smaller pieces for easier extraction. The procedure also involves the removal of the fallopian tubes and/or ovaries, if necessary, which can be done simultaneously. The use of laparoscopic techniques generally results in less postoperative pain, shorter recovery times, and minimal scarring compared to traditional open surgery. The procedure begins with the insertion of a urinary catheter and progresses through a series of carefully orchestrated steps to ensure the safe and effective removal of the uterus and associated structures.