Description

Total Laparoscopic Hysterectomy (TLH) is a minimally invasive surgical procedure performed to remove the uterus completely through small abdominal incisions using a laparoscope. TLH is preferred over traditional open hysterectomy because it offers faster recovery, less pain, and minimal scarring. Modern TLH techniques incorporate advanced energy devices like Ligasure and Harmonic Scalpel, which enhance surgical safety, precision, and efficiency. Role of Ligasure in TLH Ligasure is a vessel-sealing system that uses a combination of pressure and controlled bipolar energy to permanently seal blood vessels up to 7 mm in diameter. Its advantages include: Reduced bleeding: Efficiently seals vessels, minimizing intraoperative blood loss. Precision: Targets only the tissue between jaws, reducing collateral damage. Time-saving: Allows for quicker dissection and sealing of uterine arteries and supporting ligaments. Role of Harmonic Scalpel in TLH The Harmonic Scalpel uses ultrasonic vibrations to cut and coagulate tissues simultaneously. Key benefits include: Less thermal spread: Minimizes damage to surrounding tissues. Efficient cutting: Provides smooth and precise tissue dissection. Reduced smoke: Improves visibility during surgery. Combined Benefits Using Ligasure and Harmonic Scalpel together in TLH offers several advantages: Safer vessel control: Ligasure handles large vessels, while the Harmonic Scalpel efficiently dissects tissue planes. Reduced operative time: Faster sealing and cutting reduces surgery duration. Minimized complications: Lower risk of bleeding, tissue injury, and postoperative adhesions. Faster recovery: Patients experience less pain and return to normal activities sooner. Indications for TLH TLH using these advanced devices is commonly indicated for: Fibroids (leiomyomas) Adenomyosis Abnormal uterine bleeding Uterine prolapse Early-stage endometrial cancer Recovery After TLH Patients typically stay in the hospital for 1–2 days. Most resume normal activities within 1–2 weeks. Advantages over open surgery include smaller incisions, minimal scarring, and reduced risk of infection. Conclusion: TLH performed with Ligasure and Harmonic Scalpel represents the pinnacle of modern gynecologic surgery, combining precision, safety, and speed. It allows surgeons to perform hysterectomy with minimal tissue trauma, faster recovery, and excellent outcomes for patients.