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Doctor insights on: Hysterectomy

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Dr. Jeff Livingston
1,893 doctors shared insights

Hysterectomy (Overview)

The entire uterus (womb), cervix, the part protruding into the vagina, and body, the intra-abdomina component.


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Postmenopausal laparoscopic oophorectomy dermoid cyst?

Postmenopausal laparoscopic oophorectomy dermoid cyst?

For postmenopausal:: I would recommend oophorectomy in a postmenopausal patient, due to the (small, but possible) risk of a malignancy. While the most common type of dermoids are benign, they can be some that are malignant, and in a menopausal female i would recommend oophorectomy instead of cystectomy, to ensure that the tumor is removed entirely. For a premenopausal patient i would recommend cystectomy. ...Read more

Dr. Jeff Livingston
1,893 doctors shared insights

Hysterectomy (Overview)

The entire uterus (womb), cervix, the part protruding into the vagina, and body, the intra-abdomina component.


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What's a supracervical hysterectomy?

What's a supracervical hysterectomy?

Leaving in cervix: Some women choose to keep their cervix. The french have done this for years because they think it helps with sex. I have asked patients with cervix and without and both groups report excellent sex life after hysterectomy. Supracervical hysterectomies can be done open, laparoscopically and robotically. ...Read more

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What is laparoscopically assisted vaginal hysterectomy (lavh)?

What is laparoscopically assisted vaginal hysterectomy (lavh)?

Common: For an lavh, the laparoscope is used to allow the surgeon to free up the uterus from inside before completing the hysterectomy vaginally. Many surgeons are now using the da vinci robot to complete the surgery completely laparoscopically. ...Read more

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Does divinci hysterectomy total invoke mesh implant?

Does divinci hysterectomy total invoke mesh implant?

No: Hysterectomy and mesh implant are 2 different procedures. Sometimes can be combined, but as a rule does not involve the mesh application.Both procedures can be done with da vinci. ...Read more

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Menapause after hystorectomy?

Menapause after hystorectomy?

If ovaries removed: A woman will go into chemical menopause if both ovaries are removed at the time of hysterectomy. If one or both ovaries are left, then a woman will enter menopause at the natural time (average is at 51 years of age). ...Read more

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What is postmenopausal laparoscopic oophorectomy?

Surgical procedure: It's a minimally invasive surgical procedure, utilizing small incisions and a camera as well as narrow diameter instruments to operate within a body cavity. Oophorectomy means to remove an ovary. Postmenopausal refers to a women who has stopped menstruating, and has left their reproductive years. ...Read more

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Any risks with davinci supracercival hysterectomy?

As with any surgery.: Supracervical hysterectomy means removal of the uterus above the cervix. Da vinci is a tool that allows difficult surgeries to be done through small incisions. Complications of any surgery involve, bleeding, infection, organ injury, and anesthetic risks. None of these are common in the hands of an experienced surgeon and team. ...Read more

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Has anybody done a laparoscopic supracervical hysterectomy?

Has anybody done a laparoscopic supracervical hysterectomy?

Yes: The most common reason for leaving the cervix is patient request. Current medical evidence doesn't suggest any advantages to leaving the cervix, though sexual function or bladder function were concerns in the past. If the cervix is left, the uterus must be removed by morcellation which can be a tedious and time-consuming endeavor, especially with a large uterus. ...Read more

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Dr. PAUL EUN Dr. EUN
4 doctors agreed:
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What happens during robot-assisted laparoscopic hysterectomy?

Dr. PAUL EUN Dr. EUN
4 doctors agreed:
What happens during robot-assisted laparoscopic hysterectomy?

Precision: Robot assisted surgery is performed in order to accomplish hysterectomy with minimally invasive method possible when abdominal hysterectomy must be done otherwise. Several small incisins are made in the abdomen and robotic instruments are placed through each incision and the surgeon actually performs the procedure remotely sitting at a surgeon's console controlling all robotic instruments. ...Read more

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What happens during a laparoscopically assisted vaginal hysterectomy lavh?

Safe and efficient s: The laparoscope allows excellent visibility inside the abdomen for releasing the uterus (and ovaries as appropriate) before proceeding with the vaginal portion of the hysterectomy. Many studies show fewer complications with lavh compared to an abdominal hysterectomy or a vaginal hysterectomy. There is the additional benefit of inspecting the abdominal cavity before and after the hysterectomy. ...Read more

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Is a lsh( laparoscopic supracervical hysterectomy) still a major surgery?

Is a lsh( laparoscopic supracervical hysterectomy) still a major surgery?

Yes: Any hysterectomy (removal of the uterus) is considered a major surgery. With that said, there are several different modalities by which a uterus is removed. A lash is a type of laparoscopic hysterectomy in which the uterine body is removed but the cervix is left in the body. It is a simpler surgery with less time spent in the or. Recovery time is typically shorter as well. ...Read more

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Hematoma post hysterectomy incision?

Hematoma post hysterectomy incision?

What's the question?: Yes it's possible to get a hematoma in a hysterectomy incision. If it's not enlarging, we usually leave it alone. It will "tamponade" itself off and stop growing, then slowly resorb. If it's enlarging, the incision would be opened and explored to tie off the bleeding vessel. ...Read more

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Can uterine fibroids and/or adenomyosis reoccur after having a hysterectomy?

Can uterine fibroids and/or adenomyosis reoccur after having a hysterectomy?

No, not really: Adenomyosis is when the lining cells of the uterus are located just deep to the lining (but still within the uterus). It can be thought of as endometriosis of the uterus. Hysterectomy would remove this. Almost all fibroids are in the uterus also and would be removed with hysterectomy, although there are fibroids on rare occasions outside the uterus which could be missed/reoccur but very rare. ...Read more

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Is pregnancy possible after bilateral endometriosis surgery (laparoscopy cystectomy)?

Is pregnancy possible after bilateral endometriosis surgery (laparoscopy cystectomy)?

Yes: As long as there are no other fertility problems, you should have a chance to conceive after removing bilateral endometriomas. If you do not get pregnant after 6 months of attempts, you may want to consider setting an infertility specialist for assistance. ...Read more

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What is total hysterectomy--uterus and ovaries removed?

What is total hysterectomy--uterus and ovaries removed?

Whole uterus only: A total (complete) hysterectomy is the removal of the whole uterus(body of the uterus as well as the cervix).A partial (or supracervical) hysterectomy removes part of the uterus and leaves the cervix in place.The removal of the tubes and ovaries is a separate procedure (salpingectomy and oophorectomy respectively). Removing everything is a total hysterectomy and a bilateral salpingo-oophorectomy. ...Read more

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Laparoscopic vaginal hysterectomy--how is it done technically?

Laparoscopic vaginal hysterectomy--how is it done technically?

Difficult: This is a difficult one to put into a message, but typically you place 2 to 3 laparoscopic prots, then you ligate and divide the round ligament. Take down the bladder flap surgically. Then separate the ovaries from the uterus. Continue ligating and dividing down to the level of the uterosacral ligaments. Then proceed vaginally. Enter into the anterior and poste. That's all i get for one msg. ...Read more

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Bleeding 20 years after partial hysterectomy?

Bleeding 20 years after partial hysterectomy?

Not normal: If you had a partial hysterectomy (uterus only removed and ovaries/tubes left in) 20 years ago and are now having vaginal bleeding, you need to have it investigated as this would not be expected to occur at this stage of life. See your usual doctor to discuss. If he/she is unable to assess, then request referral to an ob/gyn physician. ...Read more

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Is da vinci robotic surgery a reliable option for hysterectomy?

Can be: This is a procedure that requires a highly trained specialist who has plenty of experience in this procedure. In the right hands of a well trained surgeon, it can be highly successful. ...Read more

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Hysterectomy needed. Should I allow salpingo-oophorectomy?

Depends: Speak with your doctor about the risks and benefits of removing your ovaries . There are a lot of factors involved including your age, the health of your ovaries and the reason you are having surgery. The hormones they produce are helpful in preventing osteoporosis as well as regulating menopause . Make sure that you have all the information before you decide . Good luck ! ...Read more