Total laparoscopic hysterectomy

This is the removal of the uterus and cervix via a keyhole (laparoscopic) approach. The word “total” indicates that the cervix is also removed. During this procedure, it is common that the fallopian tubes, that are connected to the uterus, are also removed, called bilateral salpingectomy. This is because if the uterus if removed, the woman has no need for the fallopian tubes. Also, because they are connected, it is not possible to keep them and to remove the uterus. Furthermore, it is thought that most ovarian cancer arises from the fallopian tubes, therefore it is common practice today as a risk reduction procedure during the hysterectomy.

Enlarged adenomyotic uterus with adjacent ovarian cysts

Post TLH

Common reasons for hysterectomy include:

  • Heavy menstrual bleeding not responding to medical management
  • Large symptomatic uterine fibroids with completed child bearing
  • Adenomyosis with significant pain and heavy bleeding
  • Stage IV endometriosis with concurrent adenomyosis resulting in pain and/or heavy bleeding

There are many other reasons for laparoscopic hysterectomy and these are all specific to the individual woman. All surgical decisions are made together with the patient after detailed consultation and consideration of all available options, to find what is best suited to that particular patient.

DR. LIMA WETHERELL

Understanding your health:
Surgeries explained

Hysteroscopic surgery

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Laparoscopic myomectomy (with in bag morcellation)

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In bag morcellation

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Bowel endometriosis

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Laparoscopic excision of endometriosis

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PERSONAL VALUES

Integrity

“Evidence-based medicine guides every decision I make, ensuring my patients receive the most current, effective, and ethical treatments available"

Expertise

"As a high-volume advanced laparoscopic surgeon, I bring precision, experience, and a commitment to excellence in minimally invasive pelvic surgery"

Comfort

“My consulting suite at Epworth Freemasons offers a modern, luxurious, and welcoming environment for patients to feel relaxed and supported”

Respect

“With a warm bedside manner and meticulous attention to detail, I strive to create a safe, respectful space for women seeking expert gynaecological care”

Compassion

"Kindness and compassion are the cornerstones of my practice, where every patient receives thoughtful, evidence-based care tailored to their individual needs"
Dr Lima Wetherell - pic

INTRODUCING DR. LIMA WETHERELL

MBBS BBiomedSci FRANZCOG MRMed AGES Fellowship

Dr Lima Wetherell is a highly trained Melbourne based Gynaecologist and Advanced Laparoscopic Surgeon. She has completed an additional two years of training in advanced laparoscopic surgery via the highly regarded national AGES (Australasian Gynaecological Endoscopy and Surgery) Fellowship program at Monash Health. This is a high case load National formal training program in advanced pelvic surgery that focuses on laparoscopic management of endometriosis, fibroids, hysterectomy and other complex cases referred to a tertiary referral network. She is a specialist minimally invasive surgeon with her main areas of interest being laparoscopic surgical management of endometriosis, fibroids, heavy menstrual bleeding requiring hysterectomy and fertility surgery. She performs complex pelvic surgery with a high level of attention to detail. Lima prides herself on having an understanding and caring bedside manner, with a patient centred approach being the focus of her consultations. Each appointment is tailored to the specific needs of the patient with a focus on multidisciplinary management.

Lima grew up in the South Eastern suburbs of Melbourne, graduating from medical school at the University of Melbourne in 2012. After this, she completed her specialist training as an Obstetrician and Gynaecologist obtaining her FRANZCOG at the Royal Women’s Hospital in 2021. She then pursued further training by completing her AGES Fellowship at Monash Health and consolidating her skills in minimally invasive surgery. She has also completed her Masters of Reproductive Medicine from the University of New South Wales. Throughout this time Lima has been involved in research and clinical studies and is the principal author on a number of published studies.

Lima currently holds a public appointment at Monash Health, with both clinics and theatre lists across all four campuses, working in the Endosurgical Department. In her spare time Lima likes to spend time with her two beautiful children and husband, who is also a surgeon.