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Doctor insights on: Laparoscopic Hysterectomy Fibroids

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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. Sandra Lora Cremers
9 doctors shared insights

Fibroids (Definition)

Uterine fibroids are the most common pelvic tumor in women. 1 of every 3 women of child-bearing age have these tumors and up to 80% of african-american women have fibroids. They are often asymptomatic but they can also cause significant symptoms. It is the most common cause of heavy menstrual bleeding. Pelvic pain and increased urinary frequency ...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 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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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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Dr. PAUL EUN Dr. EUN
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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 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?

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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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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Can endometriosis return after total hysterectomy?

Can endometriosis return after total hysterectomy?

Unlikely: A complete hysterectomy, with removal of both ovaries, usually is curative for endometriosis. I have seen cases afterwards, but it is extremely rare. ...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 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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Can hysterectomies safely remove fibroids?

Can hysterectomies safely remove fibroids?

Yes: Most of the time fibroids are managed by hysterectomy (removal of the uterus) for two main reasons. First, fibroids are often too numerous to remove individually without irreparable damage to the uterus. Secondly, most fibroids tend to grow back and removal of only the fibroids can be futile. The most definitive treatment is hysterectomy. Speak with your obgyn about the risks of surgery. ...Read more

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Hysterectomy side effects compared with uterine fibroid embolization?

Higher risk w surger: The risk of significant complications of any major abdominal surgery is generally considered to be between 5-10%. The risk of major complications of uae/ufe is below 3%. Embolization also has a faster recovery than surgery. ...Read more

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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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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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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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Does uterine fibroid embolization affect fertility?

Does uterine fibroid embolization affect fertility?

Yes!: These procedures should only be performed for women who are done having kids or are sure they don't want kids in the future. Uterine fibroid embolization (ufe) and uterine artery embolization (uae) block off blood vessels that supply fibroids - fibroids shrink but don't go away 100%. Some of the vessel-blocking material reduces blood flow to your ovaries, lowering egg supply (ovarian reserve). ...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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Dr. Qamar Khan
3 doctors shared insights

Fibroid (Definition)

A leiomyomata(fibroid) is a smooth muscle growth in the uterus that is rubbery, binds the female hormone estrogen and can grow to "epic" proportions causing distortion of the uterus. They cause bleeding, and burning pain( aka "fireball tumor") as ...Read more


Dr. Jeff Livingston
1,883 doctors shared insights

Hysterectomy (Definition)

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