Doctor insights on:
Vaginal Hysterectomy Recovery
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
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
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 moreSee 2 more doctor answers
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
See a doctor: Likely this is okay and is due to a lack of estrogen in the vagina causing atrophy, that is---thinner skin of the vagina that is more sensitive and occasionally bleeds as well. However, any postmenopausal vaginal bleeding needs to be evaluated by a physician to make sure there are no cancerous or precancerous reasons for this. If it is local to the vagina, your doctor may prescribe some estrogen. ...Read more
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
Both: Both will heal well. The abdominal mode requires an incision through the abdominal wall and there is usually more pain, but even then the pain is almost always well controlled with the current pain medications. In the long run they are the same, in the short term the recovery is easier after a vaginal hysterectomy for most women. ...Read moreSee 2 more doctor answers
Is anal sex ok 3 weeks post op supracervical hysterectomy. Kept both ovaries and cervix. Scared to have vaginal penetration?
Ask the surgeon: The restrictions that your surgeon gave you post op for the length of time that you should not insert anything into the vagina should also apply to anal sex. Typically surgeons recommend 4-6 weeks without intercourse or any foreign objects in the vagina. If your surgeon recommended longer or shorter, then that same length of time applies to anal sex. ...Read more
Yes: Hoping you heal up well. Best wishes. ...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
I'm scheduled for robotic total hysterectomy with pelvic lymph node dissection for uterine cancer. What;s the recovery time?
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