Keyhole Incisions
Small keyhole incisions are made on the abdomen.
Laparoscopic Uterine Surgeries · Ludhiana, Punjab
Radical Laparoscopic Hysterectomy
Precision, safety, and compassionate cancer care — minimally invasive radical hysterectomy for gynaecological cancers, ensuring complete cancer clearance with faster healing, minimal scarring, and enhanced recovery.
About radical laparoscopic hysterectomy
A diagnosis of gynaecological cancer can be life-changing but with today's medical advancements, women can now receive effective treatment without compromising comfort, dignity, or recovery. Radical Laparoscopic Hysterectomy (RLH) is a minimally invasive surgical procedure that allows precise removal of the uterus and surrounding cancerous tissues through tiny keyhole incisions. This technique offers faster healing, minimal scarring, and shorter hospital stay while maintaining oncological safety and surgical excellence.
At Dr Rama Sofat Hospital, Ludhiana, our team of expert laparoscopic and oncogynecologic surgeons specialises in performing complex procedures like RLH with utmost precision. Each surgery is tailored to ensure complete cancer clearance, minimal trauma, and enhanced postoperative recovery — helping women regain health, strength, and confidence.
What is radical laparoscopic hysterectomy?
A radical laparoscopic hysterectomy involves the removal of the uterus, cervix, upper part of the vagina, and surrounding tissues (parametrium and uterosacral ligaments). Depending on the stage and spread of disease, pelvic lymph nodes may also be removed for cancer staging and prevention of recurrence.
Unlike traditional open surgery, RLH is performed using a laparoscope (a thin camera) and specialised instruments inserted through small abdominal incisions. This enables magnified visualisation of pelvic structures, allowing surgeons to operate with greater precision and safety.
Indications for RLH
Radical laparoscopic hysterectomy is primarily recommended for women diagnosed with:
- Early-stage cervical cancer (Stage IA2 - IB2)
- Endometrial cancer extending beyond the uterus
- Certain types of ovarian or uterine sarcomas
- Severe precancerous changes (CIN III) unresponsive to other treatments
When to see a doctor
You should consult a gynaecologic oncologist if you experience:
- Persistent abnormal vaginal bleeding or discharge
- Pelvic pain or pressure symptoms
- Post-menopausal bleeding
- Positive biopsy or Pap smear showing malignant or pre-malignant cells
Early evaluation ensures timely treatment and higher chances of complete recovery.
Pre-operative evaluation
Before surgery, a detailed pre-operative assessment is essential to ensure safety and optimal outcomes. This includes:
- Complete medical history and physical examination
- Imaging tests — MRI, CT scan, or ultrasound to determine cancer extent
- Blood investigations and fitness assessment
- Biopsy and Pap test reports confirmation
- Anaesthesia and cardiopulmonary evaluation
At Dr Rama Sofat Hospital, every patient's case is discussed in a multidisciplinary tumour board, ensuring that the surgical plan aligns with global oncologic standards.
The procedure
Radical Laparoscopic Hysterectomy is performed under general anaesthesia and typically lasts 2-4 hours, depending on complexity.
Laparoscope Insertion
A laparoscope is inserted to provide high-definition visuals of internal organs.
Radical Dissection
The surgeon carefully dissects and removes the uterus, cervix, upper vaginal segment, and parametrium, while protecting nearby structures like the bladder, ureters, and blood vessels.
Lymph Node Excision
Pelvic lymph nodes are excised if indicated.
Tissue Extraction
The removed tissue is extracted safely through a small incision or vaginal route.
Closure
Incisions are closed neatly, resulting in minimal scarring.
The laparoscopic approach ensures precise tumour removal, less blood loss, and faster healing compared to conventional open surgery.
Advantages of radical laparoscopic hysterectomy
Smaller incisions and minimal scars
Reduced pain and blood loss
Shorter hospital stay and quicker recovery
Early return to normal activities
Enhanced visual clarity for precise tumour removal
Lower risk of postoperative infection
Cosmetically superior results
Risks & complications
While rare, possible risks include:
- Bleeding or infection
- Injury to bladder, ureters, or bowel
- Lymphocele formation (fluid collection after node removal)
- Deep vein thrombosis (DVT)
- Temporary urinary difficulties
Our hospital follows strict intra-operative safety protocols and advanced energy devices to minimise these risks and ensure optimal recovery.
Recovery & post-operative care
Most patients are able to walk within 12-24 hours after surgery and can go home within 2-3 days.
Post-operative care includes:
- Pain management and antibiotic coverage
- Early ambulation to prevent clots
- Avoiding heavy lifting or strenuous activity for 4-6 weeks
- Regular follow-up visits for pathology review and cancer surveillance
Emotional and psychological support is also provided through our women's wellness program to help patients recover holistically.
Fertility & hormonal considerations
Since the uterus and cervix are removed, pregnancy is not possible after a radical hysterectomy. However, ovarian function may be preserved in younger women if the ovaries are left intact, maintaining hormonal balance and preventing early menopause.
At Dr Rama Sofat Hospital, we discuss all fertility-preserving and hormonal protection options before surgery so that patients can make informed decisions aligned with their personal goals.
Frequently asked questions
Is radical laparoscopic hysterectomy safe for cancer?
Yes, multiple studies confirm that laparoscopic radical hysterectomy offers the same cancer control as open surgery, with faster recovery and fewer complications.
How long will I stay in the hospital?
Most patients are discharged within 2-3 days, depending on their condition.
When can I resume normal activities?
Light activities may be resumed in 1-2 weeks, while complete recovery usually takes 4-6 weeks.
Will I experience menopause after this surgery?
Only if the ovaries are removed. If retained, hormonal function continues normally.
Why choose Dr Rama Sofat Hospital
Over 55 years of trusted excellence in women's health and surgical care
Led by Dr Amit Sofat & Dr Ruchika Sofat, experts in advanced laparoscopic and oncologic surgery
Cutting-edge technology including 4K HD laparoscopic systems and energy sealing devices
Multidisciplinary team approach for cancer diagnosis, surgery, and post-treatment care
Personalised fertility preservation and hormonal protection counselling
Compassionate nursing and patient-centric recovery environment
Book your consultation
If you or a loved one has been diagnosed with gynaecological cancer, consult our expert team at Dr Rama Sofat Hospital, Ludhiana for advanced, compassionate care.