Background:
The laparoscopic hysterectomy is a minimally invasive surgical alternative to the open abdominal hysterectomy. In the most recent hospital survey it was concluded that nearly 70% of hysterectomies done for benign (non-cancerous) indications are performed through the open abdominal method using a large vertical incision or a C-section scar. The open abdominal hysterectomy can be performed safely and effectively, and is currently the standard of care. However alternatives such as vaginal and laparoscopic hysterectomy are available. If you have been told that you are not a candidate for these procedures, you should seek a second opinion. In skilled hands, virtually any patient is a candidate for a minimally invasive hysterectomy regardless of the size and shape of the uterus, presence of endometriosis, or prior surgeries. The laparoscopic hysterectomy is an excellent alternative which offers all of the benefits of minimally invasive surgery.
Procedure:
The Laparoscope is placed through a ¼ inch incision in the umbilicus (belly button) to view the internal organs. The images of the operative field are displayed on an HD television screen. Then two other small incisions are made on the abdomen and are used to pass telescopic precision surgical instruments. The surgeon manipulates these laparoscopic instruments to complete the removal of the uterus using surgical dissection, electrocautery, and Laser energy. Depending on the indication, the procedure can be completed with or without removal of the cervix, tubes and ovaries. The procedure can be done on an outpatient basis, allowing the patient to have a hysterectomy without spending a single night in the hospital. Dr. Farnam was trained by one of the world’s experts in laparoscopic hysterectomy during his fellowship. Dr. Farnam has performed over 250 laparoscopic hysterectomy procedures. He has given numerous presentations at local and national conferences on the safety and benefits of the procedure.
Update:
The newest advances in surgical technology involve the Robotic (da Vinci) Hysterectomy procedure, and the new Single Incision Hysterectomy.
