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Doctor insights on: Exploratory Laparoscopy Gynecologic

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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

Dr. Loki Skylizard
640 doctors shared insights

Laparoscopy (Definition)

Laparoscopy involves placement of a small camera-scope into the abdominal cavity, most often at the belly button. This allows us to see and surgically rx many abdominal and pelvic diseases. This is combined with distinction of the abd cavity with co2 gas to create more space to work. This usually requires a general anesthetic, yet most people can go ...Read more


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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

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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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Are ovarian cysts possible complications after laparoscopic appendectomy?

Are ovarian cysts possible complications after laparoscopic appendectomy?

No: Removal of the appendix does not cause cystic disease if the ovaries, which is very common, and may even come and go over time. ...Read more

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What happens during robot-assisted laparoscopic hysterectomy?

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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Gynecologic oncology vs a gynecologist?

Gynecologic oncology vs a gynecologist?

Gyn vs gyn oncology: A gynecologist takes care of all ladys and health issues related to say "female issues": annual pelvic exams, pap smears, helping with birth control, treating stds, and helping lady's make it through menopause. Gyn oncologist treats ladys who have developed cancer of the cervix, uterus, vagina, vulva etc. ...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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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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Can laparoscopic Splenectomy and small bowel Laparoscopic Exploration be done in one operation ?

Can laparoscopic  Splenectomy and small bowel Laparoscopic Exploration be done in one operation ?

Laparoscopy: A laparoscopic surgery allows the surgeon to look around the abdominal cavity without too much difficulty and usually without changing or adding incisions. If your surgeon is skilled enough to they should be able to do both at one time. Good luck. ...Read more

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Had complete hysterectomy gallbladder appendix removed had endometreosis would this cause pancreatitis?

Had complete hysterectomy gallbladder appendix removed had endometreosis would this cause pancreatitis?

Several reasons: That cause pancreatitis , from drugs , your medications , alcohol , personal habits , small stones in your biliary ducts ( gall bladder related ) its abnormality. Speak to your doctor will explain to you what is cause in your case. ...Read more

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Would a trans vaginal ultrasound/pelvic ultrasound detect endometriosis ?

Would a trans vaginal ultrasound/pelvic ultrasound detect endometriosis ?

Give indication: Xr, and anything without direct visualization give an indication as to what is suspected. The symptoms, the exam and the history makes a doctor arrive at a diagnosis as the most likely thing. If in doubt, then direct visualization needed. I hope that gives you reassurance. ...Read more

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Laparscopic ovarian cysts surgery & incision drainage, what to do?

Laparscopic ovarian cysts surgery & incision drainage, what to do?

Call your surgeon: Wash the incision with an anti-bacterial soap such as hibiclens or phisoderm. Irrigate hydrogen peroxide over a 4 x 4 gauze and most importantly call your surgeon so he/she can evaluate the wound for any possible infection or loss of integrity. ...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 an upper endoscopy necessary before laparoscopic cholecystectomy?

Is an upper endoscopy necessary before laparoscopic cholecystectomy?

Generally no: However, depending on your surgeon's practice and your specific condition, an upper endoscopy may be performed. Some surgeons may request an ERCP to open and or clear the bile ducts. ...Read more

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Anyone done laparoscopic anti-reflux surgery for hiatal hernia?

Anyone done laparoscopic anti-reflux surgery for hiatal hernia?

Relatively common: The most common anti-reflux procedure is called a fundoplication, which involves closure of the hernia and re-creating a new valve by wrapping a portion of the stomach around the esophagus. While very effective, this procedure is reserved for the rare patient who cannot manage their symptoms with lifestyle and dietary modifications supplemented by anti-acid medication. ...Read more

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What are the problems after laparoscopic appendectomy - ovarian cysts?

What are the problems after laparoscopic appendectomy - ovarian cysts?

Appendectomy: Surgical risks of laparoscopic appendectomy are low risks of bleeding or infection the first few days after surgery. There is no long term problems after surgery. Ovarian cysts are not related to appendix surgery. ...Read more

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Is ovarian cyst removal surgery an inpatient or outpatient procedure now?

Is ovarian cyst removal surgery an inpatient or outpatient procedure now?

Ovarian cysts: Most ovarian cysts can be removed laparoscopically which is an outpatient procedure. It is nowadays unusual to have to be inpatient for this. This obviously depends on the expertise of your surgeon. Advanced gynecological laparoscopists rarely have to perform a laparotomy (open surgery) for ovarian cyst removal. Davinci robot-assistance may facilitate a minimally invasive approach. ...Read more

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What is laparoscopic enterocele repair?

What is laparoscopic enterocele repair?

Repair: Enterocele is when the small bowel dips down into the pelvis and may prolapse out the vagina or other opening. Laparoscopic techniques involve minimally invasively (with small incisions and a camera) going in to fix the problem. It sometimes is associated with the repair of prolapse of other organs, and may involve the use of mesh. ...Read more

Dr. Barry Rosen
2,097 doctors shared insights

Laparoscopic Surgery (Definition)

Laparoscopy is a form of less invasive abdominal or pelvic surgery that uses instruments placed inside ...Read more