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A 30-year-old member asked:

laparoscopic vaginal hysterectomy--how is it done technically?

3 doctor answers3 doctors weighed in
Dr. Guy VanDell
Obstetrics and Gynecology 23 years experience
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.
Dr. Jeff Livingston
Obstetrics and Gynecology 22 years experience
Specialized surgery: Laparoscopic vaginal hysterectomy (lavh) is one hysterectomy technique. A video camera is inserted into the abdomen along with other small ports. Through these small incisions the dissection is done down to the level of the cervix. The rest of the surgery is done vaginally with the uterus removed from below. The very back of the vagina is the sutured closed to complete the case.
Dr. Dennis Higginbotham
Obstetrics and Gynecology 30 years experience
Varies: Different surgeons use different instruments to perform the same surgery. For hysterectomy alone, the uterus is separated from its attachments and blood supply with staples, electro-cautery, sonic scalpels, and / or sutures. Once free it is removed through the vagina or morcellated and removed through the small laparoscope incisions.

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Oklahoma City, OK
A 34-year-old female asked:

What can cause pain and pinkish discharge 3 yrs after partial hysterectomy?

1 doctor answer2 doctors weighed in
Dr. Wayne Ingram
Specializes in Obstetrics and Gynecology
Granulation tissue: Vaginal cuff(the area where the vagina was closed after hysterectomy) granulation tissue, or erosion or abrasions of this site can cause the problem. Have a gyn md examine this area and sometimes this can be identified and treated with a siver nitrate stick applied to the area to help it heal.
A 44-year-old member asked:

What could cause painful vaginal bleeding?

1 doctor answer2 doctors weighed in
Dr. Michael Sparacino
Family Medicine 37 years experience
See your doctor: Any painful vaginal bleeding needs to be evaluated by a doctor.
A 32-year-old member asked:

Will vaginal foam used with pull-out prevent pregnancy?

1 doctor answer1 doctor weighed in
Dr. Andrew Silverman
Fertility Medicine 49 years experience
Contraception: Vaginal foam with withdrawal method should prevent pregnancy. Like any barrier method is has approximately a 20% failure rate.
A 43-year-old member asked:

Should I consult a gyne or any doctor for vaginal discharge after hysterectomy?

2 doctor answers3 doctors weighed in
Dr. Wayne Ingram
Specializes in Obstetrics and Gynecology
GYN MD: A gyn md has the expertise to assess this problem.
A 26-year-old male asked:

Why are women's vaginas so tight.?

1 doctor answer1 doctor weighed in
Dr. Wayne Ingram
Specializes in Obstetrics and Gynecology
Circular muscle: The lining of the vagina(epithelium) is surrounded by circular muscle that can contract around objects and a potential space that can expand as well. Expansion projects include childbirth, sex and tampon placement.

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Last updated Jan 5, 2019
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