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Doctor insights on: Total Hystrectomy

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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

Dr. Jeff Livingston
1,882 doctors shared insights

Hysterectomy (Definition)

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


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Abdominal swelling after total gastrectomy?

Abdominal swelling after total gastrectomy?

Depends: It depends how long after gastrectomy. If the swelling happens a few days later, it can be due to infection or bleeding. If it's just mild swelling, sometime it is just due to bloated intestines. If the gastrectomy was several weeks or months ago, the considerations include ascites (abdominal fluid), a hernia, versus tumor regrowth. Talk with your surgeon to learn more. ...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 is total hysterectomy--uterus and ovaries removed?

What is total hysterectomy--uterus and ovaries removed?

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

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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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Pain after total gastrectomy for carcinoma stomach?

Pain after total gastrectomy for carcinoma stomach?

Very controllable: The pain usually relates to the incision. These types of incisions are usually treated with IV narcotic pain medications. I typically use a patient controlled analgesia (pca) system which means that the patient has a button that controls when doses are given. There are built in safety mechanisms to make sure too much narcotic is not delivered. ...Read more

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Left groin pain 3 months after total hysterectomy and oopharectomy?

Left groin pain 3 months after total hysterectomy and oopharectomy?

Not usual: see your surgeon. Many factors in play. Incision location, Tissue. Hernia,infection Blood clots. May require some testin if not immdiately clear. ...Read more

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Can you tell me about lap radical subtotal gastrectomy w/ en-bloc distal pancreatectomy & transverse colectomy?

Can you tell me about lap radical subtotal gastrectomy w/ en-bloc distal pancreatectomy & transverse colectomy?

Performed for cancer: Radical subtotal gasstrectomy is usually performed for mid to distal stomach cancers. Upper stomach lesions have an Ivor Lewis procedure. To require pancreas body and tail removed means the lesion performated into the lesser sac to involve body of pancreasa and invade gastrocolic ligament to hit the transverse colon. If all tumor out, regardless of approach, chemo may still be needed. ...Read more

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Partial hysterectomy what are precautions after surgery?

Partial hysterectomy what are precautions after surgery?

Depends: I depends on how the surgery was done. If you had a large incision on your abdomen then you should not be lifting more than 10-15 pounds for several weeks. If you had it done through the vagina or laparoscopically (small incisions) you don't have to worry about lifting restrictions. I also suggest that nothing go in the vagina for 6 weeks. Talk to your doctor about the specific details. ...Read more

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When does one qualify for total knee replacement?

When does one qualify for total knee replacement?

Pain/disability: When to have a knee replacement has to be an individualized decision. Moderate to severe pain and/or loss of the ability to function to one's satisfaction are reasons to have a knee replacement. Failure to get relief with nonsurgical measures is also a reason. Severity of arthritis on an x-ray should not be the primary factor, as many with severe x-ray changes have little pain and good function. ...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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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 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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Foot drop after radical nephrectomy surgery?

Foot drop after radical nephrectomy surgery?

Peroneal nerve: Isolated foot drop after surgery is likely due to pressure on the lateral aspect of the leg just below the knee during surgery. As seen in the picture, the peroneal nerve is at risk of pressure injury where it crosses the fibula. This kind of "palsy" due to pressure may recover spontaneously over weeks to months. If not, orthotics or surgery to graft a nerve along the injured area may help. ...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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Tell me about total knee replacement surgery?

Tell me about total knee replacement surgery?

Great deal: Your question is somewhat vague. Personally, I do minimally invasive surgery using custom, uncemented tka implants which is very important for the younger patients. This includes over 250 knee replacements per year. At your age, make sure you see a surgeon with a great deal of experience. Good luck. ...Read more

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Question for total knee replacement-is inpatient rehab necessary?

Question for total knee replacement-is inpatient rehab necessary?

Not necessarily: After a total knee replacement, you will definitely need physical therapy. The setting will depend on your general health and other medical co-morbidities. The different settings could include home with outpatient therapy, home with home health therapy, at a skilled nursing facility, or at an inpatient rehabilitation facility. Your doctors will help determine the most appropriate rehab setting. ...Read more

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Total hip replAcement. How long for recuperating?

Total hip replAcement.   How long for recuperating?

Varies: It varies a lot based upon the patient and also the technique used. Most patients are doing well by 2-6 weeks, but you can improve even to 6 months after surgery. ...Read more

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What's a hysterectomy?

What's a hysterectomy?

Uterus removal: Total hysterectomy is removal of the uterus & cervix. Supracervical removal of the uterus. Increasingly the ovaries are left in place and for good reason as they continue to cycle producing female hormones. Preservation of normal ovaries results in an additional 7-8 years of life in women under 65. If tubes & ovaries are removed bilateral salpingoophorectomy is term added to hysterectomy. ...Read more

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What is subtotal hysterectomy?

Top part of uterus: A subtotal (or partial, supracervical) hysterectomy removes part of the uterus (the fundus or body) and leaves the cervix in place. A total (complete) hysterectomy is the removal of the whole uterus(body of the uterus as well as the cervix).The removal ovaries is a separate procedure (oophorectomy). Removing everything is a total hysterectomy and a bilateral salpingo (tubes)-oophorectomy. ...Read more

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Why do women have hysterectomy?

Why do women have hysterectomy?

Many reasons: A hysterectomy is needed for cancer of the uterus, ovary, or cervix. It is an important option for 1) large fibroids or ones causing heavy bleeding or pain, 2) endometriosis, especially if causing pain or ovarian cysts, 3) adenomyosis especially if causing pain or heavy bleeding, 4) prolapse of the uterus, or 5) treatment of pain and bleeding when conservative measures fail. ...Read more

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How much do a hysterectomy hurt?

How much do a hysterectomy hurt?

Varies: The post operative pain after a hysterectomy varies from woman to woman, but is almost always well controlled with medications. The route of the hysterectomy (abdominal, vaginal, laparoscopic, robotic, etc) will have an impact on the amount of pain - but again the pain medications work very well. ...Read more

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What's a single-port hysterectomy?

What's a single-port hysterectomy?

Less invasive: A single port hysterectomy means that the surgeon uses one small incision usually in the belly button to remove the uterus. Their is less pain and less visible scar than with other techniques. An experienced single port surgeon can do most hysterectomies using this technique. Most laparoscopic or robotic techniques use 3-4 small incisions on the abdomen. ...Read more

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When can I swim post hysterectomy?

When can I swim post hysterectomy?

2 weeks: If feeling well without problems postoperatively, swimming is ok as early as 2 weeks postop. ...Read more

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How much does a hysterectomy hurt?

It depends: Pain after a hysterectomy is related to the type of incision(s) as well as the underlying condition. A large abdominal incision will be more painful than minimally invasive surgery ("bandaid incisions"). However, pain after a hysterectomy should be manageable with medications ...Read more

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Anyone know what is a hysterectomy?

Anyone know what is a hysterectomy?

Removal of uterus: This a surgical procedure under general anesthesia to remove the uterus. It can be done open, vaginally, laparoscopically, or with robotic assistance. It's usually done for bleeding abnormalities due to tumors or cancer, for prolapse, pain, or other abnormalities. ...Read more

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Can u gain wt after a hysterectomy?

Can u gain wt after a hysterectomy?

Sometimes. : You will not usually gain weight from a hysterectomy. If you have your ovaries removed you will be post menopausal and that can sometimes cause weight gain. Hope this helps. ...Read more

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Hysterectomy what is recovery time?

6 weeks: It can take 6 weeks for you to be back up to speed after a hysterectomy, although many patients are doing well after 2 weeks. It is important to move, but to not over do. Avoid lifting. Eat a nutritious well balanced diet and drink lots of water. If you have any problems, get in to see your surgeon. Take care! ...Read more

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Can I get a hysterectomy at age 28?

Can I get a hysterectomy at age 28?

Surgical indication: If there is a clear surgical indication for hysterectomy at age 28 (like a cervical cancer) a Gyn oncologic surgeon can and will discuss the pros and cons of hysterectomy with a patient and assist her in the difficult process to arrive at a "shared decision making" for hysterectomy. ...Read more

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Can you tell me about hysterectomy?

Uterus removal: There are several types depending on your medical history and why you are having one. Sometimes the uterus alone is removes as in the case of fibroids. Sometimes the uterus and cervix is removed and sometimes the uterus tubes and ovaries are removed. The gynecologist will discuss all the options with you ...Read more

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Can anyone have have a hysterectomy? ?

Can anyone have have a hysterectomy? ?

Females: Only females… any surgery has risks, so a hysterectomy is only done for medical indications. Check with your doc. ...Read more

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I want a hysterectomy how do I get one?

At UR age?: What for? This sounds not the brightest idea coming from i assume a healthy young person. If there would be a major medical problem the obgyn would have offer a solution by I do not detect. Hysterectomy has very severe consequences and i hope nobody in a right mind would offer his/her services. Consult a shrink.... ...Read more

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What are the effects of a hysterectomy?

Stop bleeding: If you have a hysterectomy and your doctor removes your uterus and cervix, you will definitely stop having periods. Depending on your situation, ovaries are usually left in in a 37 year old. If there is cancer, that is a different situation. Hysterectomies can be done through an open incision or "minimally invasively" with a robot. The main factor is often size. ...Read more

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Does it hurt to get a hysterectomy done?

Sometimes: There are various reasons to have a hysterectomy. Some are fibroids, pain, heavy bleeding, or cancer. It is important to know that there are newer types of hysterectomies that result in much less pain, such as vaginal, laparoscopic and robotic. Consider consultation for these minimally invasive methods if you need a hysterectomy. ...Read more

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How will hysterectomy done in the future?

Varies: There are a number of ways to perform a hysterectomy - the current tide is toward laparoscopic hysterectomy with robotic assistance - the route for each patient will depend on a variety of factors including the indication for the surgery, the experience and training of the surgeon, a variety of patient characteristics and co-morbidities, and possibly a number of other factors. ...Read more

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Are there alternatives to a hysterectomy?

Are there alternatives to a hysterectomy?

Yes, many: Depending on what sx you are trying to alleviate, there are many options, including: Medications that decrease bleeding Hormones that decrease bleeding or can shrink the uterus Hysteroscopic procedures that are done through the vagina in office or surgery center for bleeding or fibroids in endometrial cavity IR procedures that block bloodflow to uterus&shrinks it Ultrasound energy to shrink, etc. ...Read more

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After 6 weeks of hysterectomy, can I swim?

Ask: Ask your surgeon - he or she has post-op guidelines for you depending on several factors - just ask. ...Read more

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