A minimally invasive surgical approach to removing the uterus through small keyhole incisions — offering less pain, faster recovery, and a quicker return to daily life compared to open surgery.
Total Laparoscopic Hysterectomy (TLH) is a keyhole surgical procedure in which the uterus and cervix are removed entirely through a few small incisions in the abdomen, using a laparoscope — a thin camera-guided instrument — instead of one large open cut.
Dr. Nidhi Agrawal performs TLH for women dealing with fibroids, abnormal bleeding, endometriosis, adenomyosis, and other benign or early gynaecological conditions, using an approach designed to minimise scarring, blood loss, and hospital stay.
"A gentler path to recovery — designed around your comfort, not just the surgery."
TLH may be recommended after a thorough evaluation for a range of gynaecological conditions, including:
Large or multiple fibroids causing heavy bleeding, pain, or pressure symptoms that haven't responded to medical management.
Persistent heavy or irregular bleeding that affects daily life and hasn't improved with other treatments.
Chronic pelvic pain and abnormal bleeding linked to endometrial tissue growth in or around the uterus.
Descent of the uterus causing discomfort, pressure, or urinary symptoms that impact quality of life.
Ongoing pelvic pain where the uterus has been identified as the source after complete evaluation.
Certain early-stage gynaecological conditions where removal of the uterus is the recommended course of care.
A few keyhole cuts instead of one large abdominal incision, leaving minimal visible scarring.
The precision of laparoscopic instruments significantly reduces intraoperative bleeding.
Most patients go home within 1–2 days, compared to 4–5 days after open surgery.
A quicker return to daily activities, typically within 2–3 weeks rather than 6–8.
Smaller wounds mean a reduced chance of post-operative wound infection.
Reduced tissue trauma translates to noticeably less discomfort during recovery.
A detailed consultation, physical examination, and relevant scans or blood work to confirm TLH is the right approach for you.
The procedure is performed under general anaesthesia, so you remain comfortable and asleep throughout.
A few small incisions (usually under 1cm each) are made in the abdomen to insert the laparoscope and surgical instruments.
The uterus and cervix are carefully detached and removed, most often through the vaginal canal, avoiding any large abdominal cut.
Incisions are closed with fine sutures, and you're moved to recovery for monitoring before being shifted to your room.
Hospital monitoring, pain managed with medication, encouraged to walk short distances.
Rest at home, light movement, gradual reduction in discomfort and follow-up as advised.
Return to most daily activities; continue avoiding heavy lifting or strenuous exercise.
Final follow-up visit; full activity, including exercise, typically resumes with clearance.
Suitability depends on uterine size, prior surgeries, and overall health. Dr. Nidhi Agrawal evaluates each case individually to confirm whether a laparoscopic approach is appropriate for you.
Most patients are discharged within 1–2 days, significantly shorter than the typical stay after open abdominal surgery.
TLH leaves only a few small incision marks, usually under a centimetre each, which fade considerably over time.
Most women return to routine, non-strenuous work within 2–3 weeks. Exercise and heavier activity are generally cleared around the 6-week follow-up.
As with any surgery, there are risks including bleeding, infection, or injury to nearby organs, though these are uncommon with an experienced surgical team. These will be discussed in detail during your consultation.
Schedule a consultation with Dr. Nidhi Agrawal to discuss whether a Total Laparoscopic Hysterectomy is right for you.
Book Appointment