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Doctor insights on: Laparoscopically Assisted Vaginal

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What are risks of a laparoscopically assisted vaginal hysterectomy?

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 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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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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What is the age range of women who have laparoscopically assisted vaginal hysterectomy (lavh) performed?

Could be any age: The nice thing about an lavh is that it can usually be performed on anyone requiring a hysterectomy - regardless of age. I have performed lavh on women up to 94 years of age. There would not be a minimum age - most women are going to recover more quickly and easily from an lavh than from an abdominal hysterectomy. One great benefit is the lower complication rate compared to abdominal or vaginal. ...Read more

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What sutures and instruments are used in a laparoscopically assisted vaginal hysterectomy (lavh)?

That varies: The specific instruments used will depend on the training and experience of the surgeon as well as the particular requirements based on the patient's anatomy and body habitus. I usually use laparoscopic staples for the internal portion of the surgery and absorbable sutures for the vaginal portion. ...Read more

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What position does the patient lie in while having a laparoscopically assisted vaginal hysterectomy (lavh)?

On the back: The position is called "dorsal lithotomy" and is similar to the position a patient assumes for a gynecologic exam (or pap smear). The patient may be repositioned slightly during different portions of the procedure. ...Read more

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I need to know anything and everything you can tell me about a laparoscopically assisted vaginal hysterectomy (lavh)! pre, intra and post operative?

LAVH: Many studies show that complication rates are lowest for lavh compared to any other route for hysterectomy. It is impractical to try to relate everything known about lavh here. There are many resources available - first and foremost would be your gynecologist for a full and complete discussion of lavh and other treatment options. ...Read more

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I am 285lb had open appendectomy and tubal in past. Vaginal birth to 4 kids. Can my gallbladder sludge be removed laproscopically. Very large sludge?

I am 285lb had open appendectomy and tubal in past. Vaginal birth to 4 kids. Can my gallbladder sludge be removed laproscopically. Very large sludge?

Yes...: Though you have had previous surgery, and obesity increases your peri-operative risks, its highly likely you will be a candidate for laparoscopic cholecystectomy (gallbladder removal). These risks increase the rates of conversion to open-cholecystectomy if problems arise after starting with the laparoscopic approach. ...Read more

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Pros/cons of c-section vs. Assisted vaginal delivery? Baby persistently locked in posterior position, estimated 8lbs+.

Pros/cons of c-section vs. Assisted vaginal delivery? Baby persistently locked in posterior position, estimated 8lbs+.

Depends: That is a decision that would need to be made in the moment. Many women can deliver vaginally with no problem from the occiput posterior position. If the baby can not be delivered with pushing then options of forceps, vacuum and c section should be considered. The size of the baby, the shape of the pelvis, the position of head and the experience of the doctor are all important considerations ...Read more

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Forceps assisted delivery 9w ago and Mirena (levonorgestrel) fitting 4w ago. Dr removed vaginal polyp. Related? Dr explained why hut don't remember. Concerned!

Forceps assisted delivery 9w ago and Mirena (levonorgestrel) fitting 4w ago. Dr removed vaginal polyp. Related? Dr explained why hut don't remember. Concerned!

Vaginal Polyp: Polyps are benign growths, almost like pimples. They can cause bleeding and discharge, but otherwise are not a problem. It does not sound like there is anything to worry about ...Read more

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Can you experience odd sensations from your nerves following a assisted vaginal hysterectomy. Have tingling and pulsating.?

Can you experience odd sensations from your nerves following a assisted vaginal hysterectomy. Have tingling and pulsating.?

Tingling: There are a number of reasons why you might have tingling or numbness following such a procedure. There can be local inflammation of the nerves, and not just compression or mechanical irritation. It depends very much where you are having the symptoms. This is important in attempting any further answers to your question. ...Read more

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I had a vaginal robotic assisted hysterectomy a month ago I am now having more pain in my left lower abdomen incision site. And inside my abdomen. Is?

I had a vaginal robotic assisted hysterectomy a month ago I am now having more pain in my left lower abdomen incision site. And inside my abdomen. Is?

? Question: Your question was cut off, but generally speaking if you have any issues related to your recent surgery, I would call the surgeon as soon as possible as they would know your case best and may want to see you and examine you to assure all is healing appropriately and for continuity of care. Best wishes. ...Read more

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How to cure vaginal cuts?

How to cure vaginal cuts?

Depends on size&caus: It depends on the size of the cut and what caused the cut. Large cuts may need to be sutured and small cuts will heal by itself just use a local antibiotic cream like Bacitracin to prevent infection but not inside the vagina. ...Read more

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What's the cause of vaginal cuts?

What's the cause of vaginal cuts?

Vaginal Environment: I am not sure what you mean by 'cuts' but this is not common or normal. I would advise an urgent visit to be evaluated at the family medicine clinic. ...Read more

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How do you cure/fix vaginal odors?

How do you cure/fix vaginal odors?

Diet and exercise: Often the flora (bacteria) of our vagina is affected by things like our diet and exercise and sleep and stress. Sometimes an odor can occur in response to outside, e.g. Change in soap, detergent, lubricant, new sex partner, etc. I recommend trying to find reason for odor first, and then try to treat with probiotics or making more of the good bacteria, lactobacilli. If still bothersome, see a md. ...Read more

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How dangerous really is vaginal mesh?

How dangerous really is vaginal mesh?

Depends on type: Vaginal mesh slings, widely considered the standard of treatment for stress urinary incontinence, have a complication rate of less than 5-8% generally. Vaginal mesh "kits" used for pelvic organ prolapse surgery (to fix bulges within the vagina from the bladder/rectum or prolapse of the vaginal cuff after hysterectomy) have been found to have a complication rate of around 20-30%. ...Read more

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Condo. M stuck in vaginal want come out?

If the condom: Is stuck you must go to the doctor and the doc can easily remove it, so go now, on sunday you can go to an urgent visit center or the er and in my opinion if you are 14, you are way too young to be having intercourse. ...Read more

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How to eliminate vaginal odors for good?

How to eliminate vaginal odors for good?

You can't entirely: Vaginal odor is caused by an std or an overgrowth of anerobic bacteria in the vagina. See your ob/gyn to rule out trichomonas, chlamydia and gonorrhea. They can also test for bacterial vaginosis - the name of bacterial overgrowth that produces strong fishy odor. Once treated, never douche. Use mild soaps on the vulva and wear loose fitting clothes to avoid trapping moisture and bacteria. ...Read more

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How to properly clean your vaginal area?

How to properly clean your vaginal area?

Hmmm....: Usually, cleaning of a vagina is not needed. The outside is the vulva and can be gently washed during baths and showers. The inside is the vagina. Vaginas are not meant to be washed. That means washing vaginas is not natural, and can mess up the inner, balanced conditions of a vagina. It's nice to have good hygiene, but know that vaginas are self-cleaning, but vulvas need daily attention. ...Read more

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When should I have my first vaginal exam?

When should I have my first vaginal exam?

When needed or 21: Most women do not need a vaginal exam until 21 or as soon as sexually active to screen for stds & abnormal cytology (pap smear). Other reasons for an earlier exam would be for symptoms of infection, abnormal bleeding, or pain. Current standards are increasing the intervals between exams or delaying initial exams but it's probably best to discuss this with your gyn to see what's best for you. ...Read more

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What is a way to increase vaginal wetness?

What is a way to increase vaginal wetness?

Vaginal Lubrication: This is a very good question. Natural ways to increase the vaginal lubrication prior to penetration are all about foreplay. Your vaginal fluid glands will react with passion and time as your vagina prepares for penetration. There is a lot of good written information in books such as "our bodies, ourselves" or "the joy of sex". ...Read more

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How do you get your vaginal walls tighter?

How do you get your vaginal walls tighter?

Depends: Kegel exercises can strengthen the vaginal muscles however, this may not improve it enough. Vaginal rejuvenation surgery can surgically tighten the vaginal vault as well as reducing the size of the labia if desired. ...Read more

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Pain in vaginal opening. What could be wrong?

Pain in vaginal opening. What could be wrong?

See below: Need more info. If it is recent it could represent some form of inflammation or even a slight tear in the skin if it followed intercourse. I would need to know location, color, type of pain, etc, . ...Read more

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Does a man kno when you've cheated? Vaginally?

Does a man kno when you've cheated? Vaginally?

Not: Not necessarily. If you develop a sexually transmitted disease that would be a tip off. Or if you behave oddly that might lead him to wonder what has been going on. ...Read more

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What causes vaginal closure and how is it fixed?

What causes vaginal closure and how is it fixed?

Not sure if this is: What you are asking about. The world health
organization female circumcision type iii or infibulation is when the female's genitalia are sewn closed – with small hole left for urine ; menstruation. If can be surgically corrected. ...Read more

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Cut in my vaginal opening. Causes and solutions?

Cut in my vaginal opening. Causes and solutions?

Genital ulcer: If there was no obvious injury (e.g. traumatic sex), the genital herpes is the most common cause of genital ucers or "cuts". Syphilis also is common in your country, if at risk. Yeast infection (thrush) if there also is a lot itching/irritation. See a doctor ASAP for testing and treatment, if available to you -- the sooner the better for accurate diagnosis and effective treatment. Good luck! ...Read more

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