Laparoscopic Hysterectomy in Delhi, India

Total laparoscopic hysterectomy is a minimally invasive surgical procedure wherein the uterus and cervix are removed using laparoscopic techniques through the vagina. This procedure may also involve the removal of ovaries, fallopian tubes, and pelvic lymph nodes, potentially inducing menopause in cases of ovary removal.

When is Total Laparoscopic Hysterectomy Surgery Needed?

Total laparoscopic hysterectomy becomes a viable option for various conditions, including:

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Painful or heavy periods (AUB)
Fibroids
Prolapse of the uterus
Endometriosis
Ovarian cysts or tumors
Reproductive system cancers (uterus, cervix, or ovaries)
Pelvic inflammatory disease
Post-menopausal bleeding

Total Laparoscopic Hysterectomy Diagnosis:

Diagnosing conditions requiring laparoscopic hysterectomy involves various imaging techniques such as CT scans, MRIs, and ultrasounds. Cervical cytology (pap test) and endometrial biopsy may also be performed to detect cancer cells or abnormal cells along the uterine lining.

Total Laparoscopic Hysterectomy Treatment:

The procedure, performed under general anesthesia, involves several steps:

Cannula insertion for fluids and medications.
Catheter insertion into the bladder.
Small incision near the navel for the laparoscope.
Abdominal gas filling for better visibility.
Surgical steps using laparoscopic instruments.
Closure of incisions with stitches.
The entire process takes around two and a half hours, with a recovery period of 3 to 4 hours.

Who is a Candidate for Total Laparoscopic Hysterectomy Surgery?

Candidates include those diagnosed with:

Gynecologic cancer (uterus, cervix)
Fibroids
Endometriosis
Adenomyosis
Uterine prolapse
Abnormal uterine bleeding
Chronic pelvic pain
Patients in good health, able to withstand the surgical stress, are suitable for this treatment.

Who Should Not Consider Total Laparoscopic Hysterectomy Surgery?

Patients experiencing severe adhesive diseases (endometriosis), having large uteruses, leiomyoma, anatomical limitations, or those with a suspicious pelvic mass beyond removal may not be ideal candidates.

How to Prepare for Total Laparoscopic Hysterectomy Surgery:

Preparation involves pre-screening appointments for tests like blood tests, chest x-rays, and ECG. Avoiding smoking a month before surgery, fasting for 8 hours pre-surgery, and discussing regular medicine intake are crucial steps.

Possible Complications After Total Laparoscopic Hysterectomy:

Common side effects include pain, swelling, bruising, vaginal discharge, bloated stomach, and urinary tract infection. Severe complications like organ injuries or thromboses are rare and discussed with patients beforehand.

Care After Total Laparoscopic Hysterectomy Surgery:

Post-surgery care involves managing abdominal discomfort, monitoring vaginal bleeding, maintaining hygiene, and preventing weakness through a balanced diet. Emotional aspects and recovery times can vary.

Frequently Asked Questions (FAQs):

Q1: Is total laparoscopic hysterectomy reversible, and can I still have children after the surgery?

A1: No, total laparoscopic hysterectomy is irreversible, and it eliminates the possibility of having biological children. Fertility preservation options should be explored before opting for this procedure.

Q2: Will I experience early menopause if my ovaries are removed during the hysterectomy?

A2: Yes, removal of ovaries may induce menopause, especially if done before natural menopause age. Hormone replacement therapy (HRT) may be discussed to manage menopausal symptoms.

Q3: How long does it take to resume normal activities after total laparoscopic hysterectomy?

A3: Recovery times vary, but most individuals can resume normal activities within a few weeks. Strenuous activities, sexual intercourse, and driving may require more time.

Q4: Can total laparoscopic hysterectomy increase the risk of blood clots or infections?

A4: While rare, there is a minimal risk of thromboses (blood clots) or infections. Patients are closely monitored post-surgery, and preventive measures are taken to minimize these risks.

Q5: What is the typical postoperative follow-up schedule after total laparoscopic hysterectomy?

A5: Follow-up appointments are usually scheduled at regular intervals post-surgery to monitor healing, address concerns, and discuss any necessary adjustments to the recovery plan.

Q6: How long does it take for hormonal balance to stabilize after the removal of ovaries?

A6: Hormonal balance post-ovary removal varies, and it may take some time for the body to adjust. Hormone replacement therapy (HRT) may be recommended to manage any hormonal imbalances and alleviate menopausal symptoms.

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Dr. Ruchir Maheswari

Specialist: Urologist
Experience: 15+ years of experience
Hospital: Max Hospital Saket

About Doctor:

Dr. Ruchir Maheswari is a Urologist, with experience of more than 15+ years.
Dr. Ruchir Maheswari’s area of specialization covers Endourology, Advanced Laparoscopic Surgery, and Renal Transplantation.
Dr. Ruchir Maheswari is very much skilled in offering treatment for Urinary Tract Infection, Stone Diseases, Prostate Diseases and Cancer of Genitourinary System.

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Dr. Ruchir Maheswari was instrumental in setting up the Kidney Transplant Programme in Apex Hospital, Jaipur.
The credit of First Laparoscopic Donor Nephrectomy and First Pediatric Kidney Transplant in Rajasthan goes to him.
To hone his skill, the doctor takes part in workshops and presents papers in National and International conferences.
His sincerity, proficiency as a medical practitioner fetched him honorary membership of a number of prestigious associations. These are: American Urological Association, Urological Society of India, Indian Society of Organ Transplantation, Association of Surgeons of India (ASI), Indian Medical Association (IMA), Jaipur Urology Society, and MOHAN Foundation.
The quest for knowledge has engaged him in research and publications and he has so far published 10 Papers in different National, International Journals.
After graduating with MBBS from Shri M. P. Shah Medical College, Jamnagar, Gujarat in 1999, he pursued MS in General Surgery in R.N.T Medical College, Udaipur, Rajasthan from 2002-2005. Later he did MS (Urology) from Sanjay Gandhi Postgraduate institute of Medical Sciences, Lucknow in 2010.

Dr. Anupam Bhargava

Specialist: Urology
Experience: 36+years of experience
Hospital: Max Super Specialist Hospital, Saket, New Delhi

About Doctor:

Dr. Anupam Bhargava is a well-known Genito-Urinary Surgeon (Urologist) practicing in Delhi.
He completed his graduation and post-graduation from Gwalior Medical College.
He worked at the Safdarjung Hospital in the years 1979 and 1980 and went to complete his training in Urology in Vienna and Munich.

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He settled in New Delhi and is a practicing Urologist. In 1992, he founded his own company, North Point Hospital Pvt Ltd, which he successfully operated until May 2012 before he decided for a change.
He has organized four National workshops and has been a committed teacher.
He has several publications to his credit in his field of work.
He has been attending National and International Conferences and has been chairing and participating in scientific sessions.
He continues to impart training in Endourology to National and International Doctors which is wildly very popular among doctors from developing countries.
Anupam Bhargava is a keen traveler and loves his weekend golf and bridge game.
He is also a fellow Rotarian.

Dr. Puneet Ahluwalia

Specialist: Urological Oncology & Robotic Surgery
Experience: 45+years of experience
Hospital: Max Super Specialist Hospital, Saket, New Delhi

About doctor:

Dr Ahluwalia is a Director, Urologic Oncology and Robotics at Max Institute of Cancer Care, New Delhi, India.
He is currently the lead Robotic surgeon for Urological tumors at Max institute of Cancer care, Vaishali and Patparganj apart from providing his clinical services and conducting surgeries at Max Institute of Cancer Care Saket, New Delhi.
Dr Ahluwalia is one of the few clinical fellowship trained robotic surgeons in India with fellowships in Minimally Invasive Urology (Robotic Surgery) and Urologic Oncology.

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He brings vast experience in the field of advanced robotic surgery and treatment of urological cancers in a minimal invasive manner from topmost national and international institutes.
He holds to his credit a fellowship in Urologic Oncology from Mie University Japan and has undergone advanced robotic urology training (Ob. Fellowship) from University of Miami, USA.
His clinical practice is mainly driven by his perseverance for providing a high level of evidence based care to patients with urological cancers.
He has also mentored many fellows/robotic surgeons who have now established successful robotic programs in various top hospitals of the country.
He has to his credit experience of more than 600 robotic surgeries as a console surgeon including but not limited to robotic prostatectomy, robotic partial nephrectomy, robot assisted radical cystectomy with intracorporeal urinary diversion, robotic radical nephrectomy, robotic inguinal lymph node dissection, robotic adrenalectomy and robotic retroperitoneal lymph node dissection.
He has performed more than 1000 minimal invasive procedures for urological cancers including laparoscopic and endourological surgeries besides conventional open urologic oncological surgical procedures.

Dr. Gagan Gautam

Specialist: Director (Urological Oncology & Robotic Surgery)
Experience: 29+years of experience
Hospital: Max Super Specialist Hospital, Saket, New Delhi

About Doctor:

Dr. Gagan Gautam is the Head of Uro Oncology and Robotic Surgery at Max Institute of Cancer Care, Max Hospitals, Saket, New Delhi.
He is a US fellowship trained robotic uro oncologist and his entire practice is exclusive to the surgical treatment of patients suffering from prostate, kidney and urinary bladder cancers.
He has previously worked in top national and international hospitals including the All India Institute of Medical Sciences, New Delhi, and the University of Chicago Medical Center, USA, which is considered one of the leading cancer centers in the world today.

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Having performed over 700 robotic operations for prostate, kidney and urinary bladder cancer, Dr. Gautam is one of the few dedicated uro oncologists in India today.
He is closely involved in the assessment, treatment and follow-up of patients undergoing treatment of urological cancers at Max Institute of Cancer Care, Saket, New Delhi.
As the chief uro oncologist in this institution, he heads a team of professionals who provide educational and counseling services for helping patients choose the most appropriate and cost-effective treatment options for all stages of these diseases. Besides robotic surgery,
Dr. Gautam is also an acknowledged expert in open, laparoscopic and endoscopic operations for prostate, kidney and bladder malignancies.

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Providing a doctor’s opinion and proper quotation
Selecting the best hospital and doctor as per your case
Arranging a call with the doctor (if the case required)
Visa assistance, Providing Visa Invitation Letter (VIL)
Providing full guidance how to get Visa from your country
Providing total cost including treatment, air tickets, accommodation, and food
Assitance to book flight ticket from your country
Arranging airport pick up/ drop
Providing professional language interpreter
Booking accommodation and guest house as per your budget/ prefrence
Providing help in money exchanging
Providing local sim card
Arranging video consultation with specialist doctor if case requires

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Max Hospital Saket Delhi

Number of beds: 500
ICU Beds: 267
Airport Distance: 13 KM

About Hospital:

Max Super Speciality Hospital at Saket is one of the topmost healthcare service
Providers in India. The multi-super speciality hospital has a capacity of over 500 beds, 250 functional beds. It is equipped with state-of-the-art facilities, advanced technologies.
With the help of over 300 leading specialist Doctors, strong nursing staff, and state-of-the-art innovative medical tools.

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Max Hospital, Saket aims to provide the highest standard of medical care to the patients, right from admission and all the way to the patient discharge.
Max Smart Super Speciality Hospital, Saket, offers the advantage of integrated medical care in a multidisciplinary setting provided by a faculty of highly qualiﬁed doctors, nurses, & healthcare professionals.
Max Smart Super Speciality Hospital, Saket, is a regional hub for complex procedures such as neurovascular intervention, targeted cancer treatments, heart surgeries, orthopaedic surgeries, liver & kidney transplant, and fertility treatments.
With over 35 Speciality units, this renowned hospital caters to many patients from different parts of India as well as abroad on an everyday basis.
The super specialty hospital is well known for having Asia’s first and the world’s third BrainSUITE technology.
It is an advanced Neurosurgical operation theatre, which allows the medical team to use MRI during the surgery. This sophisticated technology can be used for various kinds of brain surgery.
Max Hospital group is also the first super speciality tertiary care centre that has the facility for advanced cardiac life support ambulances and air evacuation service.

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