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Doctor insights on: Vaginal Hysterectomy Procedure

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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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Dr. Dennis Higginbotham
108 doctors shared insights

Vaginal Hysterectomy (Definition)

Vaginal hysterectomy is the removal of the uterus and cervix through the vagina (with no visible incisions/ scars). The procedure offers faster recovery and lower risk than abdominal surgery. The ovaries and tubes can also be removed at the same time, ...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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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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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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What happens during robot-assisted laparoscopic hysterectomy?

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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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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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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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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Was laparoscopic vaginal hysterectomy successful in the past?

Yes: It is a neat procedure done on an outpatient basis. It is considered a minimally invasive procedure and the post op recovery is quite rapid. ...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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What's the recovery time for laproscopic vaginal hysterectomy?

Varies: The recovery can be as quick as a few days or as slow as a few weeks. Most women spend only a few hours or one night in the hospital after the surgery. ...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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Is vaginal hysterectomy a very common procedure?

Is vaginal hysterectomy a very common procedure?

Yes: Hysterectomies are very common procedures. Many doctors, but not all, feel comfortable removing the uterus through the vagina. It is a great way to have the surgery that is less invasive then an abdominal procedure, results in less pain and risks with a quicker recovery. Talk to your doctor about all the options, pros and cons. ...Read more

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Vaginal vault prolapse surgery--what kind of surgeon performs this procedure?

Vaginal vault prolapse surgery--what kind of surgeon performs this procedure?

Vag Vault Prolapse: Generally performed by a urogynecologist. Make sure you find out in advance whether or not your doctor performs these with or without mesh, the route of surgery (vaginal vs. abdominal), and how often the doctor performs this type of procedure. ...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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Orgasm ok after vaginal surgery?

Orgasm ok after vaginal surgery?

OK to have: Once all post0operative pain ; discomfort is thing of the past. However, always best to check with your gyn dr. First. Good luck. ...Read more

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Is da vinci robotic surgery a reliable option for hysterectomy?

Can be: This is a procedure that requires a highly trained specialist who has plenty of experience in this procedure. In the right hands of a well trained surgeon, it can be highly successful. ...Read more

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Dr. Jeff Livingston
1,879 doctors shared insights

Hysterectomy (Definition)

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