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Doctor insights on: Ablation Vs Hysterectomy

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Which is better endometrial ablation vs hysterectomy?

Which is better endometrial ablation vs hysterectomy?

Depends on problem: If the main problem is heavy bleeding then an endometrial ablation is a safer minimally invasive first start. It is a simple procedure which can be done in the office under local anesthesia with minimal to no time off for recovery. If there are other problems then hysterectomy may be a better options. Discuss both and ask questions at your next visit. ...Read more

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Dr. James Chapman
2 doctors shared insights

Ablation (Definition)

Cardiac ablation involves destruction of tissue aimed at elimination of sources of origin or propagation of arrhythmias. It may also be used to destroy part of the heart in hypertrophic cardiomyopathy. Typically it is done with a catheter inserted through a ...Read more


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Is laproscopic tubectomy safer than surgical tubectomy?

Is laproscopic tubectomy safer than surgical tubectomy?

Depends. : This depends on many factors. The complications are not quite the same. For many patients laparoscopy is safer but this is not always the case. Laparoscopy generally has a quicker recovery. ...Read more

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What are the risks of laser vs resectoscopic endometrial ablation?

What are the risks of laser vs resectoscopic endometrial ablation?

Perforation: Both can cause perforation of the uterus and both require considerable time to perform since it requires piece-meal & tedious treatment of the endometrium. It requires an experienced surgeon with a good track record. Make sure you request information on the more modern methods of ablation which have safer profiles using hot water, thermal balloon, mesh, or freezing. ...Read more

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Is da vinci robotic surgery a reliable option for hysterectomy?

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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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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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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Is having an endometrial ablation safe?

Is having an endometrial ablation safe?

Yes : It's safe, effective, and very well tolerated. The safety profile is quite good . Typically it is safer than a hysterectomy - depending on the type/equipment used. ...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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Which is better a partial hystorectomy or uterine ablation?

Which is better a partial hystorectomy or uterine ablation?

Individual issue: It is different for for each woman, very generally if you are a candidate for ablation, it is quicker, easier and less risky and wear and tear on the body. It improves your periods about 90% of the time. ...Read more

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Is ablation like novasure an option for women with endometriosis?

Is ablation like novasure an option for women with endometriosis?

Yes and No: The Novasure ablation procedure is specifically to decrease or stop heavy menstrual bleeding. Women who also have endometriosis can still have the procedure; however, it won't help with their endometriosis. The reason for this is that endometriosis is outside the uterus. The Novasure procedure works by cauterizing the inside of the uterus. Best wishes! ...Read more

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PCOS, Endometriosis, Heavy Cycles, 33yo, tubal ligation 3 yrs ago. Would an endometrial ablation lessen my symptoms/cancer risks?

PCOS, Endometriosis, Heavy Cycles, 33yo, tubal ligation 3 yrs ago. Would an endometrial ablation lessen my symptoms/cancer risks?

Maybe not: Endometrial cancer can be obscured by endometrial ablations if it is not ruled out prior to the procedure by biopsy. Many women continue to have bleeding post endometrial ablation procedures, and the most likely conclusive treatment is hysterectomy if you no longer desire children. ...Read more

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Compare postoperative outcomes of a total abdominal hysterectomy, a laproscopic assisted lavh?

Compare postoperative outcomes of a total abdominal hysterectomy, a laproscopic assisted lavh?

LAVH usually better: Depends on what the reason is, what your body type is and why they are doing it and how good your doctor is at doing lavh. But usually there is less pain and an easier recovery time after lavh. But doing it robotically often has less pain that lavh. ...Read more

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What are risks of a laparoscopically assisted vaginal hysterectomy?

Same as any surgery: The risks include bleeding, infection, damage to bowel bladder and adjacent organs, pain , postoperative bleeding, failure to cure pain, scar formation, need for additional surgery. In the case of the lavh - there would be the risk of needing open abdominal surgery as well. ...Read more

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What is surgery for a hysterectomy for fibroid removal like?

What is surgery for a  hysterectomy for fibroid removal like?

Depends: It depends on the size of the fibroid and the skill of the surgeon. Some surgeons are very skilled at minimally invasive or robotic surgeries and are comfortable even with very large fibroids. Make sure you are evaluated by someone skilled in advanced laparoscopy/robotics for an opinion if a different doc tells you that you must have an open hysterectomy. That's not always the case! ...Read more

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What is postmenopausal laparoscopic oophorectomy?

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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Recovery after an endometrial ablation ?

Recovery after an endometrial ablation ?

Should be quick: One of the advantages of the endometrial ablation is the quick recovery. This is a minimally invasive procedure; most patients are back to normal in about a week. There is some cramping that can be expected.If you are having bad cramps, pain or a foul discharge, these could be signs of an infection. Follow up with the surgeon who performed the procedure.They can and should tell you what to expect. ...Read more

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Histeroscopic polypectomy or histerectomy, what's the difference?

Look vs take...: Hysteroscopy is a procedure that looks inside the uterus, without incisions. If a polyp is present, it can be removed with instruments placed thru the hysteroscope - short recovery. A hysterectomy is the removal of the uterus (containing the polyp) - with or without the removal of the ovaries thru incisions- longer recovery. ...Read more

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Total vag. Hyst& bilat salpinoopherectomy . 2 options, vag.Only or with laparoscopic assist.60yo, thin, complex hyperplasia ?

Skill of surgeon: In general a vaginal hysterectomy is easier to recover from. That being said, when I have to have surgery i always defer to the preference of the surgeon. I want the person holding the knife to feel totally comfortable doing the procedure they feel is best. If i were your surgeon i would do a robotic hysterectomy. That is my preference. ...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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What is the indication for surgical ablation (av node ablation) for atrial fibrillation?

What is the indication for surgical ablation (av node ablation) for atrial fibrillation?

Definitive Control: We don't generally do this with surgery, but rather with a "catheter" based procedure (wire we thread into the heart that cauterizes the av node). This procedure provides complete control of the heart rate in the lower chamber and excellent symptom control, but makes people dependent on the pacemaker that *must* be implanted with this procedure. ...Read more

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Dr. Jeff Livingston
1,882 doctors shared insights

Hysterectomy (Definition)

The entire uterus (womb), cervix, the part protruding into the vagina, and ...Read more