Microscopic Tubal Reversal
In the Total Laparoscopic Hysterectomy or TLH, the laparoscope is used to remove the entire uterus from the abdomen. The ovaries may or may not be removed at the same time.
Like other minimally invasive surgeries, this procedure is designed to cause less pain than abdominal hysterectomy with the added benefit of a shorter recovery period.
First, the scope is introduced through a small incision in the navel. Smaller incisions are then made in the lower abdomen, to allow for passage of additional instruments.
During the TLH, the surgeon separates the uterus (highlighted in picture) from its ligaments and blood vessels, then detaches it with an incision at the top of the vagina.
After the uterus is removed, the vaginal incision is closed, preserving vaginal depth.
The procedure is out patient and requires general anesthesia, and a hospital stay of one to two days. Recovery before returning to work is usually 7-10 days.