Anaesthesia & Setup
The patient is given general anaesthesia. Tiny (0.5-1 cm) incisions are made near the belly button and lower abdomen.
Laparoscopic Uterine Surgeries · Ludhiana, Punjab
Total Laparoscopic Hysterectomy
Minimally invasive uterus removal through tiny keyhole incisions — using advanced 4K HD laparoscopic systems for extreme precision, minimal pain, faster recovery, and virtually invisible scars.
About total laparoscopic hysterectomy
A woman's uterus is the centre of her reproductive and hormonal health. However, for some women, conditions such as fibroids, adenomyosis, endometriosis, chronic pelvic pain, or abnormal uterine bleeding can severely impact their physical wellbeing and emotional balance.
When medicines and conservative therapies fail to bring lasting relief, surgery may become the most effective and life-changing option.
At Dr Rama Sofat Hospital, Ludhiana, we offer Total Laparoscopic Hysterectomy (TLH) — a minimally invasive uterus removal surgery performed through tiny keyhole incisions instead of a large abdominal cut. Using advanced 4K HD and high-definition laparoscopic systems, our surgeons can view and operate on the pelvic organs with extreme precision and safety.
This modern approach ensures minimal pain, faster recovery, and virtually invisible scars, allowing women to heal comfortably and return to their routines quickly with renewed confidence and quality of life.
What is TLH?
Total Laparoscopic Hysterectomy (TLH) is a keyhole surgical procedure in which the uterus (and sometimes the cervix) is completely removed using laparoscopic instruments. Small incisions are made on the abdomen, through which a laparoscope (tiny camera) and fine surgical instruments are inserted. The camera projects magnified 4K HD visuals of the uterus and surrounding organs onto a screen, enabling the surgeon to perform the procedure with unmatched accuracy.
Depending on the medical condition, the fallopian tubes or ovaries may also be removed during the same surgery.
Unlike traditional open hysterectomy, TLH offers better visualisation, minimal trauma, and a quicker return to normal life — making it the gold standard approach in modern gynaecologic surgery.
Indications for TLH
Your doctor may recommend TLH if you suffer from any of the following conditions:
- Uterine fibroids (myomas) causing pain, pressure, or excessive bleeding
- Adenomyosis or adenomyoma unresponsive to medication
- Severe endometriosis involving the uterus or surrounding organs
- Chronic pelvic pain not relieved by other treatments
- Abnormal uterine bleeding resistant to hormonal therapy
- Uterine prolapse or descent
- Precancerous changes of the cervix or endometrium
- Post-menopausal uterine abnormalities
- Repeated miscarriages or uterine deformities where fertility is no longer desired
At Dr Rama Sofat Hospital, every indication is evaluated through detailed clinical assessment, imaging, and counselling before recommending surgery.
The TLH procedure
At our hospital, TLH is performed under general anaesthesia by our expert laparoscopic surgeons using world-class 4K HD imaging systems.
Insertion of Laparoscope
A laparoscope (thin telescope with a high-definition camera) is inserted, providing a magnified view of the pelvic organs.
Identification and Dissection
The uterus is carefully separated from its surrounding tissues — blood vessels, ligaments, and the cervix — using fine, precise laparoscopic instruments.
Sealing and Removal
Blood vessels are sealed using energy-based devices to prevent bleeding. The uterus is then removed either through the vaginal canal or in small sections via the laparoscopic ports.
Inspection and Closure
The surgeon checks all areas for complete haemostasis (no bleeding), and the small skin incisions are closed with dissolvable stitches.
The entire procedure typically takes 1-2 hours, and most patients can walk within a few hours after surgery.
Advantages of TLH
Tiny keyhole incisions — minimal scarring and excellent cosmetic results
Less pain and blood loss during and after surgery
Shorter hospital stay — usually discharged within 24-48 hours
Faster recovery — return to work and normal life in 2-3 weeks
Reduced risk of infection and post-surgical complications
Improved precision and safety with 4K HD visualisation
Early mobility and faster emotional recovery
Recovery & post-operative care
Most patients feel significantly better within a few days of surgery.
Typical Recovery Timeline
- Hospital stay: 1-2 days
- Return to light activities: within a week
- Complete recovery: 2-3 weeks
Post-Operative Care Tips
- Take medications as prescribed for pain and infection control
- Keep incisions clean and dry
- Avoid heavy lifting or intense exercise for 4-6 weeks
- Eat a nutritious, fibre-rich diet and stay hydrated
- Attend all scheduled follow-ups for wound and internal healing checks
Our care team at Dr Rama Sofat Hospital provides personalised guidance at every step — management to emotional support — transition back to full health, ensuring a smooth recovery.
Fertility & hormonal considerations
After TLH, a woman cannot conceive, since the uterus is removed. However, if the ovaries are preserved, they continue to produce hormones naturally, preventing early menopause and maintaining bone, heart, and skin health.
In cases where ovaries need removal due to disease or age-related factors, our specialists discuss hormonal therapy options to ensure hormonal balance and overall wellbeing.
Every patient receives detailed counselling before surgery to understand the implications on fertility, hormones, and long-term health.
Frequently asked questions
Is Total Laparoscopic Hysterectomy safe?
Yes, TLH is a highly safe, effective, and standardised procedure when performed by skilled laparoscopic surgeons.
Can TLH be done in patients with previous 2/3 caesarean deliveries or in patients with large sized uterus?
It is possible to do TLH in patients with previous 2/3 caesarean deliveries or in patients with large sized uterus at Dr Rama Sofat Hospital owing to the high-end expertise, advanced equipment like vessel sealing devices, 4K HD cameras, power morcellators etc.
Will I have visible scars?
No, only small, almost invisible keyhole scars remain after complete healing.
How long will I stay in the hospital?
Most patients are discharged within 24-48 hours of surgery.
Will TLH cause menopause?
Not if your ovaries are preserved. Menopause only occurs if both ovaries are removed.
How soon can I resume normal life?
You can walk the same day, resume light activities in a week, and return fully to normal life in 2-3 weeks.
Is sexual activity possible after surgery?
Yes, after 6-8 weeks, once internal healing is complete and your doctor approves.
Why choose Dr Rama Sofat Hospital
Pioneers in Advanced Laparoscopic Gynaecology — over five decades of trusted women's healthcare excellence
Led by Dr Amit Sofat, one of the most experienced and compassionate laparoscopic and fertility surgeons in Ludhiana
Use of latest 4K HD laparoscopic systems for utmost precision, safety, and reduced recovery time
Fertility-focused approach — preserving ovaries and hormonal health whenever possible
Pain-free recovery protocol and dedicated post-surgery support team
Comprehensive setup combining laparoscopy, fertility, and women's wellness care under one roof
Thousands of successful hysterectomy surgeries with excellent outcomes and patient satisfaction
Book your consultation
If you're considering hysterectomy for fibroids, adenomyosis, or other conditions, book your consultation with Dr Amit Sofat & Dr Ruchika Sofat at Dr Rama Sofat Hospital, Ludhiana.