Laparoscopic Hysterectomy for Adenomyosis: A Complete Guide | Dr Shilpa G B: Gynecologist

In this video, Dr. Shilpa G B, a gynaecologist based in Bangalore, presents a comprehensive guide on laparoscopic hysterectomy for Adenomyosis.

00:00 Introduction: What is Adenomyosis?
-Adenomyosis is a condition where there is swelling of the uterus because the endometrial cells are migrated to myometrium which is the muscle layer of the uterus.

00:25 Symptoms for Adenomyosis
-Patient will experience severe pain during menstruation
-Severe pain before and after the menstruation
-Excruciating pain during intercourse
-Painful passing of urine
-Painful passing of motions

-Hysterectomy can be offered if they have completed their family, are over 40 years of age, and if all other methods have failed to give them relief.

01:27 Benefits of laparoscopic hysterectomy
-Minimally invasive procedure
-Faster recovery
-Better pain relief
-Shorter hospital stays
-Less Blood loss due to minimally invasive surgery

01:50 Challenges in laparoscopic hysterectomy surgery
-The size of the uterus ranges from 8 cm to 30 cm, & this can be difficult to operate through laparoscope.
-Distortion in the anatomy
-Lack of Visibility
-Special skills required to navigate the pelvis

03:10 Complications in the laparoscopic hysterectomy surgery
-Difficulty in removing the specimen through the vaginal route
-Risk of Blood Clots when surgery is prolonged

03:52 Safety of laparoscopic hysterectomy surgery depends on
How many comorbidities are there in patients?
-Obesity
-Anemia
-Cardiac Problems
-Hypertension
-Diabetes
-Thyroid Disorders

04:12 Risks of laparoscopic hysterectomy
-Risk of anesthesia
-Chance of concerting laparoscopic surgery with open surgery
-Risk of infection
-Bleeding from the vault
-Bleeding from the stems of the hysterectomy, etc.

04:47 Cost of laparoscopic hysterectomy
Cost of laparoscopic hysterectomy can range anywhere between ₹60,000/ to ₹4,00,000/-

04:58 Recovery period after laparoscopic hysterectomy surgery
-Hospital stay of only 1 to 2 days is required unless there are any complications.
-The recovery period after the surgery is 7 to 10 days. A patient can get back to routine in ten dayspatient.
-Post-operative period will be managed by antibiotics, painkillers & antacids for better recovery.
-The patient will not require complete bed rest or any kind of special care post-operatively.

Conclusion:
-Laparoscopic hysterectomy is an effective, minimally invasive treatment for adenomyosis when other methods fail. It offers faster recovery, less pain, and shorter hospital stays compared to traditional surgery.
-The procedure is best suited for women over 40 who have completed their families. Recovery typically takes 7–10 days.
-As with any surgery, it's important to discuss the benefits, risks, and alternatives with a qualified healthcare provider.
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Laparoscopic Hysterectomy for Endometriosis | Dr Shilpa G B: Gynecologist Bangalore
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