Laparoscopic Hysterectomy in Delhi
Keyhole removal of the uterus when other treatments have not worked.
What laparoscopic hysterectomy involves
Hysterectomy is the right answer for some women — large symptomatic fibroids, adenomyosis with intractable pain, prolapse, or bleeding that has not responded to anything else — but only once the alternatives have genuinely been tried.
Done laparoscopically, it means no large abdominal wound, a one to two day stay, and a return to normal activity in about three weeks instead of six.
Who this is for
- Large or multiple symptomatic fibroids in women who have completed their family
- Adenomyosis with severe pain and bleeding
- Abnormal bleeding unresponsive to medical and hysteroscopic treatment
- Uterine prolapse
Not everything on this list means you need this treatment. The workup comes first, and the recommendation follows from what it shows — not from what was booked before you arrived.
Step by step
Alternatives reviewed
Medical treatment, hormonal IUS, ablation and myomectomy discussed before agreeing to surgery.
Planning
Whether ovaries and cervix are removed decided with you, not for you.
Surgery
Laparoscopic or vaginal approach, typically 60 to 120 minutes.
Recovery
Home within one to two days, normal activity at around three weeks.
Your results, in writing
Whatever the outcome of laparoscopic hysterectomy, you leave each stage with the findings written down — what was done, what was found, what it means, and what the options are from here. Reports are issued the same day wherever the laboratory allows it.
Case study: The operation that was offered too soon
42, Chirag Delhi · heavy bleeding · hysterectomy advised
What she came in with
Heavy bleeding for three years with a hysterectomy advised at two separate consultations. She did not want it and had stopped seeing doctors about it altogether.
What the workup showed
Ultrasound showed diffuse adenomyosis with a bulky uterus but no fibroids and a normal cavity. Endometrial biopsy was benign. Haemoglobin was 9.1 g/dl. No medical treatment had ever been tried.
What we did
A levonorgestrel IUS first, as the least invasive option with good evidence in adenomyosis, with a clear agreement to review at six months and proceed to surgery if it had not worked.
Outcome
Bleeding reduced markedly by four months. At review she chose to continue with the IUS. Two years on she has still not needed surgery, and if she does, that option remains.
The point of this case
Hysterectomy is the right answer for some women. It should not be the first answer when no medical option has been tried, and offering it first is why many women stop coming.
Illustrative case. This is a composite of presentations commonly seen in this practice, written for explanation — it is not the record of an identifiable patient, and no individual's details are used. Outcomes vary, and nothing here is a prediction of what will happen in your case.
What is different about having this done here
Offered only after conservative options have been tried
Ovaries conserved wherever oncologically safe, to avoid surgical menopause
Keyhole or vaginal approach rather than open surgery wherever possible
Clear discussion of what does and does not change afterwards
Treated by the consultant, not by a rotating team
Dr. Tiwari performs the scans, the procedure and the follow-up herself, and looks after any pregnancy that results. Over a long treatment course that continuity is the difference between being known and being processed.
- MBBS, MS (Obstetrics & Gynaecology), FNB (Reproductive Medicine)
- Over ten years in reproductive medicine and gynaecological surgery
- Consultations and scans at Mother's Hope, Katwaria Sarai; theatre work at SHE Delhi Hospital, Greater Kailash II
- Itemised costs given in writing before anything begins
Areas we see patients from
Both locations are in South Delhi. Patients travelling from further out have appointments grouped to cut down the number of trips.
Questions about laparoscopic hysterectomy
Will I go into menopause after hysterectomy?
Not if your ovaries are conserved. You will stop having periods but hormone production continues. If ovaries are removed, menopause is immediate and we plan for it.
How long is recovery?
About three weeks to normal activity after laparoscopic surgery, compared with around six after open surgery.
Talk it through before you commit
Consultations run for a full hour. Bring any previous reports — they are reviewed properly, not repeated.