LSH is an alternative to the traditional hysterectomy. It is a less invasive solution in removing a massive fibroid uterus or endometriosis. Ultimately, LSH avoids an open hysterectomy with a long incision and lengthy recuperation.

With LSH, a patient can resume normal daily activities within one week. "A patient will leave the hospital with only three band aids. They can shower or bathe immediately when returning home. And in three days the band aids can be removed."

According to Dr. Chapman, mothers of the patients are the most difficult to convince. LSH had not been developed when they had to have a hysterectomy. It is hard for them to believe that this procedure could have little pain and a very short recovery.

"No pain nerves exist in this area of the pelvis. Anesthetics are given in the trochar sites (insertion sites for the laparoscope) to last 12 hours. There is no pain. No incision sites. And by the time the block wears off, the patient is healing," said Dr. Chapman.

A miniature video camera, the laparoscope, transmits magnified images of the patient's internal organs onto television monitors. The surgical team observes these monitors to perform the operation.

Approximately 125 instruments are necessary to perform LSH. One of the most amazing is the harmonic scalpel. This instrument allows greater precision in tight spaces near vital structures, while being very versatile. "We are using a new energy source," said Dr. Chapman. The harmonic scalpel cuts by using sound wave energy, vibrating back and forth 55,000 times per second.