Total laparoscopic hysterectomy (TLH) performed by experienced gynecologisy is accepted as a secure, efficient method to manage benign uterine pathology, and is also a equally satisfactory alternative to standard abdominal hysterectomy. The word laparoscopic hysterectomy can be used generally to define different types of hysterectomy with a laparoscopic accessibility to abdominal cavity. Laparoscopic hysterectomy (LH), looked as the laparoscopic ligation from the major vessels i.e. Uterine artery giving the uterus by electrosurgery desiccation, suture ligature, or staples was basically performed in 1988. Today, Laparoscopic Hysterectomy is really a safe and feasible strategy to manage benign uterine pathology as it offers minimal postoperative discomfort, shorter a hospital stay, rapid convalescence, and early go back to those activities of daily life.

The explanation for TLH would be to convert abdominal hysterectomy in to a laparoscopic procedure and thereby reduce trauma and morbidity.Uterine artery ligation at the time of TLH is a technically feasible procedure. It reduces the total blood loss and decreases the time taken for the procedure of Total Laparoscopic Hysterectomy.



Given adequate learning laparoscopic surgery and with proper technique, TLH can be successfully done at World Laparoscopy Hospital in many women with very enlarged uteri, with no boost in complication rates and short-term recovery. In skilled hands, these patients may gain advantage all the advantages in connection with Minimal Access surgical approach for example minimal hemorrhage, short a hospital stay, prompt recovery, obtaining a satisfactory result. From the data from World Laparoscopy Hospital, there is no reason anymore to think about enlarged uteri a contraindication to TLH; plus accordance with our opinion, laparoscopy might be of interest instead of laparotomy in every case inspite of how big the uterus.