Total Laparoscopic Hysterectomy
Advanced keyhole removal of uterus (TLH) for severe fibroids, adenomyosis, or abnormal bleeding with 24-48 hr discharge by Dr. Manisha Kumari.
Dr. Manisha Kumari
MBBS, MS (O&G) Consultant Gynaecologist & Ultrasound Specialist- Dumduma Clinic: Near SBI, Phase-1
- IMS & SUM Hospital: K8, Kalinga Nagar
Best Total Laparoscopic Hysterectomy in Bhubaneswar
Precision 5mm keyhole uterus removal for adenomyosis, severe fibroids, and abnormal uterine bleeding led by Dr. Manisha Kumari at IMS & SUM Hospital, Bhubaneswar.
Dr. Manisha Kumari
MBBS, MS (O&G) Consultant Laparoscopic Gynaec Surgeon- Dumduma Clinic: Near SBI, Phase-1
- IMS & SUM Hospital: K8, Kalinga Nagar
Gentle, Modern Keyhole Hysterectomy (TLH)
- Are you suffering from debilitating heavy bleeding, severe adenomyosis, or multiple fibroids?
- Have medications and conservative treatments failed to control chronic pelvic agony?
- Are you looking for a modern keyhole surgery with rapid recovery rather than a large open cut?
When non-surgical therapies have been exhausted, Total Laparoscopic Hysterectomy (TLH) offers a permanent, definitive cure for complex uterine disorders. In TLH, the entire uterus and cervix are detached laparoscopically through micro-punctures and removed naturally through the vagina with zero open abdominal incisions.
Dr. Manisha Kumari performs advanced TLH with extreme precision at IMS & SUM Hospital, preserving healthy ovaries whenever possible to maintain your natural hormones while ensuring a comfortable, pain-free recovery.
- Step 1: Micro-Port Placement: 3 to 4 tiny 5mm punctures are made in the lower abdomen to introduce high-definition 4K optical cameras and precision energy instruments.
- Step 2: Uterine Ligament & Vessel Sealing: Uterine arteries and supportive ligaments are carefully coagulated and divided using advanced ultrasonic vessel sealers with minimal thermal spread.
- Step 3: Ureteral Protection: Clear anatomical visualization safeguards the bladder and ureters at every step of the procedure.
- Step 4: Vaginal Removal: The disconnected uterus and cervix are retrieved smoothly through the natural vaginal canal, leaving the abdominal wall completely intact.
- Step 5: Laparoscopic Vaginal Vault Suturing: The vaginal cuff is securely closed laparoscopically with continuous absorbable barbed sutures, followed by pelvic floor suspension to prevent future prolapse.
Patients experience negligible blood loss and minimal postoperative wound discomfort.
Total Laparoscopic Hysterectomy vs. Traditional Open Surgery
Total Laparoscopic Hysterectomy (TLH)
- 3-4 tiny 5mm punctures with barely noticeable scars.
- Minimal blood loss (less than 50 ml) with zero transfusion requirement.
- Very mild wound soreness; low painkiller requirement.
- Discharge in 24 to 48 hours; return to light routine in 7 to 10 days.
- Significantly lower incidence of bowel adhesions and incisional hernia.
Open Abdominal Hysterectomy
- Large 12–15 cm abdominal cut with prominent scarring.
- Higher blood loss and higher risk of wound infection.
- Intense post-operative pain requiring strong intravenous analgesics.
- 4 to 6 days hospital stay; 6 to 8 weeks prolonged bed rest.
- High incidence of painful post-operative tissue adhesions.
Cashless TPA & Insurance Facility
Total Laparoscopic Hysterectomy is covered by all private health insurance policies, corporate TPAs, Ayushman, and state health schemes at IMS & SUM Hospital, Bhubaneswar.
Consultations conducted at Dumduma Clinic; TLH surgeries performed in state-of-the-art modular OTs at IMS & SUM Hospital, Bhubaneswar.
Why Choose Dr. Manisha Kumari for TLH?
- Specialized Laparoscopic Mastery: High volume of successful keyhole hysterectomies with zero conversion to open surgery.
- Ovarian-Preserving Policy: Strict policy of conserving healthy ovaries in pre-menopausal women to protect natural estrogen.
- Laparoscopic Pelvic Floor Fixation: Suspending the vaginal vault to prevent post-hysterectomy prolapse.
- Atraumatic Vessel Sealing: Use of advanced vessel sealing technology ensuring bloodless, clean surgical planes.
- Compassionate Female Surgeon: Providing empathetic counseling and reassurance to allay anxiety.
- Hassle-Free Cashless Insurance: Dedicated hospital coordinator to manage your insurance paperwork.
- IMS & SUM Hospital Infrastructure: Premier medical college hospital with 24x7 ICU, blood bank, and surgical team.
Frequently Asked Questions
Common questions regarding keyhole hysterectomy, ovarian preservation, and recovery.
No. In premenopausal women with benign conditions, Dr. Manisha Kumari preserves your healthy ovaries (oophorectomy is avoided). Your ovaries will continue producing natural estrogen and progesterone normally, meaning you will not experience premature menopausal hot flashes or mood swings.
Yes. With modern advanced laparoscopic energy devices and safe in-bag vaginal morcellation techniques, even enlarged uteri weighing 1 to 2 kg (equivalent to 16–20 weeks pregnancy size) can be safely removed via TLH without open abdominal incisions.
Hospitalization is typically 24 to 48 hours. Patients are walking comfortably on the day of surgery, can perform light indoor tasks within 3 to 5 days, and return to office desk jobs in 7 to 10 days. Strenuous exercises and sexual intercourse can be resumed after 6 to 8 weeks.
No. The vaginal canal, nerve supply, and external anatomy remain completely intact. In fact, most women report a significant improvement in intimacy and quality of life because chronic bleeding, pelvic pain, and anemia are permanently resolved.