Doctor insights on:
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
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
Better than open: Laparoscopic hysterectomy is performed when vaginal hysterectomy may be very difficult and one wants to avoid a major open surgery. This typically rquires 3 or 4 small incisions in the abdomen. You may go home the same day or stay in the hospital overnight. Your recovery will be significantly faster comapred to abdominal route. Open abdomial hysterectomy is rarely necessary today. ...Read more
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
Trachelectomy recover time, this is a noncancerous situation. Previously had supracervical partial hysterectomy leaving left ovary and cervix.
Varies: That depends on the technique your surgeon plans to use. You will need to direct this to the surgeon as there are a variety of approaches. ...Read more
It can: In many cases yes. If the primary issue is centrally located pain with the menstrual cycle, a hysterectomy is likely to be very helpful. There are also surgical treatments short of a hysterectomy, including resection of endometriosis and pre sacral neurectomy. You need to see a good pelvic pain doctor to help you work out the best option for you. ...Read more
How can ovarian function be evaluated post hysterectomy uterus and cervix removed, ovaries retained?
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 moreSee 2 more doctor answers
Whole uterus only: A total (complete) hysterectomy is the removal of the whole uterus(body of the uterus as well as the cervix).A partial (or supracervical) hysterectomy removes part of the uterus and leaves the cervix in place.The removal of the tubes and ovaries is a separate procedure (salpingectomy and oophorectomy respectively). Removing everything is a total hysterectomy and a bilateral salpingo-oophorectomy. ...Read more
Ovarian cyst endometriomas 8 and 5 centimeters. Dr wants to do laparotomy vs laproscopic outpatient. Is this necessary to be so invasive?
8 cm is : Rather large. I am sure your doctor considered risks v. Benefits of the operation. Not likely to be cancer at your age, but not impossible. Follow your doctor's advice. If you don't like with his advice, you can always get a second opinion, but i think it is going to be the same. ...Read more
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 moreSee 2 more doctor answers