This video demonstrates Total Laparoscopic Hysterectomy for Abnormal Uterine Bleeding. Hysterectomy as a treatment option for heavy menstrual bleeding is an invasive procedure that must be reserved for women for whom other treatment options have failed or are contra-indicated. Hysterectomy can be performed in four surgical approaches: abdominal, vaginal, laparoscopic, and robot assisted.

Having your uterus removed will stop uterine bleeding. And it frees you from having to use birth control. Most women with a hysterectomy are satisfied with the results ... But any surgery has risks. And in this case, the risks include heavy blood loss, infection, blood clots, and damage to the bladder or bowel. Keyhole hysterectomy that is Total Laparoscopic Hysterectomy is effective for women with heavy menstrual bleeding. When surgical treatment was needed, almost all women with heavy menstrual bleeding were satisfied and had a good quality of life following keyhole surgery to remove the uterus.

Abnormal uterine bleeding (AUB) is a common gynecological issue that affects many women worldwide. It can significantly impact a woman's quality of life, causing discomfort, pain, and even leading to anemia. When other treatments fail to control AUB, a hysterectomy may be recommended as a definitive solution. This article explores the role of hysterectomy in managing abnormal uterine bleeding, its benefits, risks, and recovery process.
 
Understanding Abnormal Uterine Bleeding
Abnormal uterine bleeding refers to menstrual bleeding that is irregular, excessively heavy, prolonged, or occurs between periods. It can result from various causes, including:
- Hormonal imbalances
- Uterine fibroids
- Polyps
- Endometrial hyperplasia
- Adenomyosis
- Cancerous or precancerous conditions
- Bleeding disorders
 
If left untreated, AUB can lead to chronic anemia, fatigue, and a reduced quality of life. While medications and minimally invasive procedures can manage many cases, some women require surgical intervention.
 
What is a Hysterectomy?
A hysterectomy is a surgical procedure that involves the removal of the uterus. Depending on the underlying condition and the patient’s medical history, different types of hysterectomy may be performed:
- Total Hysterectomy: Removal of the uterus and cervix.
- Subtotal (Partial) Hysterectomy: Removal of the uterus while preserving the cervix.
- Radical Hysterectomy: Removal of the uterus, cervix, parts of the vagina, and surrounding tissues (usually performed for cancer patients).
 
In some cases, the ovaries and fallopian tubes may also be removed to reduce the risk of future complications.
 
When is Hysterectomy Recommended for AUB?
Hysterectomy is typically considered when other treatment options, such as hormonal therapy, endometrial ablation, or uterine artery embolization, have failed. It may be recommended in cases of:
- Severe, uncontrollable bleeding impacting daily life
- Large fibroids causing pain and excessive bleeding
- Endometriosis or adenomyosis that does not respond to other treatments
- Precancerous or cancerous conditions of the uterus
- Chronic anemia due to heavy menstrual bleeding
 
Benefits of Hysterectomy
A hysterectomy provides a permanent solution to AUB, leading to:
- Elimination of heavy and irregular bleeding
- Relief from chronic pelvic pain and discomfort
- Improved quality of life and well-being
- Reduced risk of uterine cancer (if the uterus is removed)
 
Risks and Considerations
As with any major surgery, a hysterectomy carries certain risks, including:
- Infection
- Bleeding and blood clots
- Injury to surrounding organs
- Early menopause (if the ovaries are removed)
- Emotional and psychological effects
 
It is essential to discuss these risks with a healthcare provider to make an informed decision.
 
Recovery After Hysterectomy
Recovery time varies depending on the type of hysterectomy performed. In general:
- Hospital Stay: 1-2 days for minimally invasive procedures; 3-5 days for open surgery.
- Full Recovery: 4-6 weeks for open surgery; 2-4 weeks for laparoscopic or robotic-assisted surgery.
- Activity Restrictions: Avoid heavy lifting, strenuous exercise, and sexual activity for at least six weeks.
 
Most women experience significant relief from their symptoms and return to normal activities within a few months.
 
Conclusion
Hysterectomy is a highly effective treatment for abnormal uterine bleeding when other options have failed. While it is a major surgical procedure, it offers long-term relief and improved quality of life for many women. If you are experiencing persistent abnormal uterine bleeding, consult your healthcare provider to discuss the best treatment options for your condition.
 
For more information:
World Laparoscopy Hospital Cyber City,
Gurugram, NCR Delhi INDIA : +919811416838
 
World Laparoscopy Training Institute Bld.No: 27, DHCC,
Dubai UAE : +971525857874
 
World Laparoscopy Training Institute 8320 Inv Dr,
Tallahassee, Florida USA : +1 321 250 7653