Modern gynecology offers effective and gentle methods of surgical treatment. One such method is laparoscopic hysterectomy, performed with minimal trauma and a short recovery period. In Tashkent, this surgery can be performed at Dr. Steinke Clinic, where international standards, modern equipment, and an individual approach are applied to each patient.

Types of laparoscopic hysterectomies
The procedure belongs to minimally invasive surgery and can vary in the extent of intervention and degree of complexity.

• Laparoscopic total hysterectomy Category 1: Removal of the uterine body and cervix in uncomplicated forms of pathology. The surgery is performed via vaginal and laparoscopic access with minimal strain on the body.
• Laparoscopic total hysterectomy Category 2: A more complex intervention that may include the removal of adnexa and requires more preparation.
• Laparoscopic total hysterectomy Category 3: Intervention for co-existing diseases or after previous surgeries. It may be performed using an expanded set of specialized instruments.
• Laparoscopic extirpation of the uterus: Complete removal of the uterus and ovaries, including for oncological indications.

The choice of method and category depends on the diagnosis, the patient's condition, and the recommendations of the attending physician. All types of interventions are performed using a laparoscope through small incisions in the anterior abdominal wall.

Indications and contraindications for surgery
Laparoscopic total hysterectomy is used for various gynecological pathologies. Key indications include uterine fibroids (myoma), endometrial hyperplasia, chronic inflammations unresponsive to therapy, and benign tumors.

Contraindications may include acute inflammatory processes, severe cardiovascular diseases, advanced-stage malignant tumors, and contraindications to anesthesia. The final decision to perform the surgery is made by the doctor after a comprehensive examination.

Possible complications and postoperative period
Operative laparoscopic hysterectomy is generally well-tolerated, but like any intervention, it can involve risks.

• Mild pain at the incision sites: Possible during the first 24 hours, managed with pain relief.
• Slight bleeding: A normal bodily reaction in the early period.
• Elevated temperature: May be observed temporarily.
• Worsening well-being: Requires medical supervision.
• Adhesion formation: Rare and monitored during rehabilitation.

After the surgery, the patient remains under observation in the hospital. Full recovery takes 2–4 weeks. After 1.5–2 months, patients can return to normal activity. Proper preparation and an individualized approach minimize risks and achieve stable results.