Our Summary

This research paper talks about a new way to perform a laparoscopic hysterectomy (a procedure to remove the uterus) that uses fewer entry points (or “ports”) than the traditional method. Usually, surgeons use four ports, but this new technique, called a 2-port laparoscopic hysterectomy (TPH), only requires two. The study looked at the results of 45 patients who had this new procedure.

The paper found that the TPH took about 98.4 minutes on average, with an average blood loss of 65.6 mL. There was only one case where the surgeon had to add an extra port, and no complications during surgery. After the surgery, 5 patients out of 45 had complications.

When comparing this new technique to the traditional 4-port method, the paper found that patients were more likely to have the TPH if they were younger, had a lower body mass index, had a smaller uterus, and were white.

Overall, the study concludes that this new 2-port technique for hysterectomies is a safe option for a specific group of patients: those with smaller uteruses and a limited surgical history, who don’t need any other surgeries at the same time as the hysterectomy.

FAQs

  1. What is the 2-port laparoscopic hysterectomy (TPH) technique?
  2. How does the TPH method compare to the traditional 4-port method in terms of surgery time, blood loss and complications?
  3. Which group of patients is the TPH method considered to be a safe option for?

Doctor’s Tip

A helpful tip a doctor might give a patient about laparoscopic hysterectomy is to ask about the possibility of a 2-port laparoscopic hysterectomy (TPH) as it may result in fewer entry points and potentially shorter surgical time and less blood loss compared to the traditional 4-port method. Patients who are younger, have a lower body mass index, have a smaller uterus, and are white may be good candidates for this new technique. It’s important to discuss with your doctor to see if this option is suitable for your specific situation.

Suitable For

Patients who are typically recommended for a laparoscopic hysterectomy, specifically the 2-port technique, include those who are younger, have a lower body mass index, have a smaller uterus, and are white. Additionally, patients who have a limited surgical history and do not require any other surgeries at the same time as the hysterectomy may be good candidates for this procedure. It is important for patients to discuss with their healthcare provider to determine if they are suitable candidates for a laparoscopic hysterectomy and which technique is best for their individual situation.

Timeline

Before the laparoscopic hysterectomy:

  • Patient meets with their gynecologist to discuss the need for a hysterectomy and the different surgical options available
  • Patient undergoes pre-operative tests and evaluations to ensure they are a good candidate for surgery
  • Patient may need to make lifestyle changes or take medications to prepare for surgery
  • Patient discusses the procedure and recovery process with their surgeon and medical team
  • Patient may need to fast or follow specific instructions before the surgery date

After the laparoscopic hysterectomy:

  • Patient wakes up in the recovery room and is monitored closely by medical staff
  • Patient may experience pain, discomfort, and fatigue in the days following the surgery
  • Patient is given instructions on how to care for the surgical incisions and manage pain at home
  • Patient may need to follow a specific diet or activity restrictions during the recovery period
  • Patient attends follow-up appointments with their surgeon to monitor their healing process and address any concerns or complications

Overall, the laparoscopic hysterectomy is a minimally invasive procedure that offers a faster recovery time, less pain, and fewer complications compared to traditional open surgery. With advancements in surgical techniques, such as the 2-port laparoscopic hysterectomy, patients now have more options for a safe and effective treatment for various gynecological conditions.

What to Ask Your Doctor

Some questions a patient should ask their doctor about laparoscopic hysterectomy include:

  1. What are the benefits of a 2-port laparoscopic hysterectomy compared to the traditional 4-port method?
  2. Am I a good candidate for a 2-port laparoscopic hysterectomy based on my age, body mass index, and medical history?
  3. What is the expected recovery time and pain level after a 2-port laparoscopic hysterectomy?
  4. Are there any potential risks or complications associated with the 2-port technique that I should be aware of?
  5. Will I need any additional procedures or surgeries in conjunction with the hysterectomy?
  6. How many of these procedures have you performed, and what is your success rate with the 2-port technique?
  7. Will I need a follow-up appointment after the surgery, and what can I expect in terms of post-operative care?
  8. Are there any alternative treatment options to consider besides a laparoscopic hysterectomy?
  9. What is the cost of the procedure, and will it be covered by my insurance?
  10. Can you provide me with any additional resources or information to help me make an informed decision about my treatment options?

Reference

Authors: Tyan P, Robinson J 3rd, Dandapani M, Li J, Gu A, Moawad GN. Journal: Surg Innov. 2019 Aug;26(4):442-448. doi: 10.1177/1553350619827693. Epub 2019 Mar 24. PMID: 30907239