Laparoscopic Hysterectomy.

Medical Program for Laparoscopic Hysterectomy by Minimum Access

Hysterectomy is the removal of the uterus for different reasons such as:
3- Prolapse of the uterus
4-Abnormal uterine bleeding
5-Pelvic pain
6- Cancer
The hysterectomy can be performed vaginally, abdominally and laparoscopically, the latter a less invasive option, which requires only a few minor incisions in the skin, so it only leaves small wounds in the abdomen.
The great advantage of laparoscopic hysterectomy is that it is a minimally invasive procedure. The laparoscopic technique allows the doctor a better visualization, allows to see more clearly the nerves and blood vessels, allows to work with a high resolution camera to explore the abdomen in a precise way, a much safer surgical procedure
Laparoscopic hysterectomy also has the advantage of being less painful in the postoperative period, faster recovery and less hospitalization time.
Special instruments equipped with camera and lighting are used, they show the area that is being operated enlarged on a screen and guarantee perfect visibility conditions.
Laparoscopic hysterectomy is suitable for treating women with larger uteri and for those with little or no descent, which may be difficult to remove vaginally. We should mention that when a woman has not had children, and she has uterine disease, to consider laparoscopic hysterectomy, first we must make every effort to treat her more conservatively.
Within laparoscopic hysterectomy, doctors can remove the uterus in three ways:
Laparoscopic "simple" hysterectomy: the surgeon removes the uterus through a special "cannula" (trocar) after shredding each of its tissues. The trocar and the instruments used to cut and suture are introduced previously through small incisions made in the abdomen.
Laparoscopic radical hysterectomy: the doctor also removes the uterus, also the supporting apparatus of the organ and, in certain tumors, a part of the vagina (vaginal sleeve) as well as the ovaries and fallopian tubes.
Laparoscopic supra cervical hysterectomy (HSL): partial removal of the uterus. Advantage: the neck of the uterus (cervix) is preserved. Research in the field will reveal whether this relatively new technique provides better or equivalent results compared to other surgical techniques. Important for the affected woman: given that the surgeon keeps the cervix, the patient must continue undergoing preventive check-ups after the operation. Only in this way can possible early stages of cervical cancer be detected and treated in time.
Always before deciding to have a laparoscopic hysterectomy, consider all possible treatment options. In general, this procedure is a last resort after trying other treatments for the health problem that it presents. Be sure to talk with your doctor about all the benefits and risks
During laparoscopic hysterectomy several complications can occur: Pain and abdominal distension. Permanent scars. Vaginal bleeding. Infections Abscesses Bruising Hemorrhages Peritonitis. Emphysema Embolism. Respiratory problems. Arrhythmias and cardiac arrest.
Medical Program
Hospitalization (1 day)
Hospitalization in a private room,  ( meals included)
Inpatient medical care (medical round visit)
Initial evaluation and preparation of clinical history
Other medical checkups by specialists in
Re-checkup by  specialist   (ambulatory follow-up)
Preoperative investigations
Complete blood count
Minimum coagulogram
Blood group ABO and RH.
Chest x-ray
Serology (VDRL)
Test of antibodies against HIV-1/2
Microbiological research
Simple vaginal discharge
Pathological Anatomy Research
Diagnostic biopsy of surgical pieces
Gynecological ultrasound
Surgery. General anesthesia
Medical report. Conclusions and recommendations
Note: Accommodation for the patient's companion: 40.00 CUC per day (meals included)
Medications, disposable material, blood, derivatives or their substitutes and artificial support materials are excluded.
The medical programs are designed to perform the preoperative study on an outpatient basis. If the patient prefers to be hospitalized, the preoperative stay increases in two or three days depending on the scheduled surgery.
The Institute of Surgery for Minimum Access of Cuba, offers the possibility of this Minimally invasive surgery
Laparoscopic Hysterectomy.
Minimal Access Surgery
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