MICRO-INVASIVE WITH LASH AND TLH.

Hysterectomy:
Your perspectives for gentle and rapid healing.

Hysterectomy:
Your perspectives for gentle and rapid healing.

It was Asst. Prof. Dr. Resmiye Ermis who established a specialized procedure for hysterectomy at the MIC Center Rhein-Main and has successfully applied it in hundreds of patients. Here you can learn everything you need to know about it and the opportunities it offers for successful treatment.

Brief overview: the key facts about hysterectomy – LASH and TLH

Removal of the uterus is one of the most frequently performed gynecological procedures worldwide. Women often make a very conscious decision to undergo it, even when there is no compelling medical necessity. Truly well-founded counseling is therefore essential.

Two types of hysterectomy are distinguished: LASH and TLH. The abbreviation LASH stands for “laparoscopic supracervical hysterectomy.”

This refers to removal of the uterine body while the cervix is preserved. TLH, on the other hand, stands for “total laparoscopic hysterectomy” and refers to removal of the entire uterus. Both procedures are minimally invasive, meaning that only minimal physical intervention is required. And for good reasons.

For one thing, this preserves the essential ligament structures and the pelvic floor.

On the other hand, the LASH procedure is often technically simpler and associated with fewer risks, such as injury to the ureters. Pelvic floor specialists frequently recommend the LASH procedure because it preserves ligaments and structural support. In general, the impact of hysterectomy performed using the LASH technique (laparoscopic supracervical hysterectomy), meaning with preservation of the cervix, is less significant than after complete removal.

The likewise minimally invasive TLH method is also performed entirely without an abdominal incision. This is a technique that Asst. Prof. Dr. Ermis has been successfully practicing for more than 15 years. Thousands of patients have thus been treated in a tissue-sparing and structure-preserving manner—and are able to enjoy life without limitations, with intact pelvic floors, vaginal vaults, and ovaries.

The long-term advantages of LASH compared with complete hysterectomy are currently being investigated in studies.

Often it is pain in the lower abdomen that impairs quality of life and disappears after removal of the uterus. The most common triggers are bleeding disorders, such as heavy and prolonged menstrual bleeding—known as menorrhagia. In cases of severe uterine prolapse, hysterectomy can also represent a sensible therapeutic option.

Fibroids, meaning small growths, are often the cause of symptoms for which hysterectomy is recommended. Around three quarters of all hysterectomies are attributable to fibroids. The good news: most fibroids are benign.

In addition to the heavier-than-usual and prolonged menstrual bleeding (menorrhagia) mentioned above, the possibility of cancer as an underlying cause must be examined with particular care. Hysterectomy may be necessary due to uterine cancer, cervical cancer, ovarian cancer, or fallopian tube cancer. For this reason, the preventive removal of the fallopian tubes with the aim of reducing the risk of ovarian cancer may be advisable. Asst. Prof. Dr. Ermis will advise you on this in detail.

In general, the following applies: the higher the age, the more thorough the evaluation should be. On the one hand, because statistically the risk of developing cancer increases with age. On the other hand, because early detection significantly improves the chances of cure.

An abdominal incision for hysterectomy is now performed only very rarely—at most in cases of pronounced oncological findings. Even with very large and multiple fibroids, such as uteri that have grown beyond the level of the navel, Asst. Prof. Dr. Ermis operates in a tissue-sparing manner. This is because modern technology makes a gentler approach possible: the minimally invasive one. What exactly does this involve?

Through four small puncture openings, the uterus is separated from the surrounding tissue and removed. Because the wounds created by this method are extremely small, they also heal quickly. The benefit: the length of hospital stay is significantly shorter. During aftercare, a five- to seven-day prophylaxis against vascular occlusions (venous thromboembolism) is then administered.

Pain and bleeding are finally a thing of the past. And the psychological burden has given way to a new sense of lightness as well. Life in one’s familiar daily routine soon becomes reality again, including the resumption of sexual activity.

What would have changed for the better in your life if the physical and psychological burdens were a thing of the past thanks to hysterectomy? Talk to Asst. Prof. Dr. Ermis—call now at 069-407 15 50. Or send a message to gynaekologie@rotkreuzkliniken.de.

An unfulfilled desire to have children?

When a minimally invasive procedure may be the solution.

An unfulfilled desire to have children?

When a minimally invasive procedure may be the solution.