Doctor insights on:
Total Radical Hysterectomy
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
Perhaps: Chemotherapy following bladder cancer removed by radical cystectomy may be advised depending on the stage of the cancer. A deeply invasive cancer, or a cancer with lymph nodes involved may be treated post-operatively with chemotherapy if chemotherapy was not used preoperatively. ...Read more
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
Robotic total lap hyst with bil ovaries & Fallopian tubes & cervix removed.how long after surgery can I start restricting calories to lose Weight?
Recovery activities: The recovery period for your surgery is typically 2-4 weeks. Discuss with your doctor regarding your post operative activities allowed. ...Read more
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
I'm scheduled for robotic total hysterectomy with pelvic lymph node dissection for uterine cancer. What;s the recovery time?
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
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 moreSee 1 more doctor answer
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
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 moreSee 2 more doctor answers
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
Had radical hysterectomy w/ bilateral salpingo-oophorectomy at 27 yrs old, due to aggressive cancer. On long-term HRT to put off menopause. Risks?
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