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Doctor insights on: Vaginally Cuff Abscess Hysterectomy

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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. Jeff Livingston
1,884 doctors shared insights

Hysterectomy (Definition)

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


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Can you have a vaginal cuff tear without bleeding after vaginal hysterectomy?

Can you have a vaginal cuff tear without bleeding after vaginal hysterectomy?

A defect, not a tear: The healing of a vaginal cuff after vaginal hysterectomy is not always predictable or may not be complete or smooth for several weeks after surgery. A defect in the vaginal scar may on occasions occur without symptoms but it would be rather unlikely although not impossible that a "cuff tear" would take place without bleeding ". ...Read more

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Does cesarean stitch and ovarian cyst surgery stitch different?

Does cesarean stitch and ovarian cyst surgery stitch different?

depends: The type of incision can be the same in both c-section and ovary resection, the surgeon opens the skin along the bikini line and then opens the fascia from the umbilicus to the pubic bone. The same suture, usually absorbable can be used in both. The ovarian cyst surgery also can be done with a laprascopic approach, minimally invasive. Okay to ask your surgeon about these choices. Be well. ...Read more

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Is anal sex ok 3 weeks post op supracervical hysterectomy. Kept both ovaries and cervix. Scared to have vaginal penetration?

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

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Complete hysterectomy 4y ago. W/vaginal cuff revision 1y ago. Scar tissue removed. Painful sex. Spotting. Pain in back & abdomin. Low grade fever.?

Complete hysterectomy 4y ago. W/vaginal cuff revision 1y ago. Scar tissue removed. Painful sex. Spotting. Pain in back & abdomin. Low grade fever.?

Needs follow up: This is a complex situation with lots of possibilities. The fever should be addressed first since that could be caused by so many things. Then your gynecologist can assess the vaginal cuff. You may have granulation tissue, scar tissue, pelvic adhesions or a number of other issues which can be addressed. ...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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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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Abdominal hysterectomy or vaginal. Which heals better?

Abdominal hysterectomy or vaginal. Which heals better?

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 more

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Does the povider offer vbac (vaginal birth after previous cessarean section)?

Does the povider offer vbac (vaginal birth after previous cessarean section)?

No: Due to a combination of hospital policies and practicing at several hospitals in the community our practice does not feel that we can currently provide for vbac or tolac safely at this time. This may change in the future. ...Read more

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Explain the surgery to repair vaginal rectal fistula?

Explain the surgery  to repair vaginal rectal fistula?

Options: Depending on the cause of the fistula, additional diagnoses, age and health of the patient your surgeon will discuss the options. Have friends and family with you to help with this discussion. Usually diagnostic tests colonoscopy, ct scan of abdomen and pelvis are done before final surgical planning. ...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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Trachelectomy recover time, this is a noncancerous situation. Previously had supracervical partial hysterectomy leaving left ovary and cervix.

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

Dr. James Lin Dr. Lin
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How long b4 external stimulation/orgasm ok post laparoscopy (naval+1 add'l 1" incision) to remove nodule/granuloma from vaginal cuff due to prev hyst?

Dr. James Lin Dr. Lin
2 doctors agreed:
How long b4 external stimulation/orgasm ok post laparoscopy (naval+1 add'l 1" incision) to remove nodule/granuloma from vaginal cuff due to prev hyst?

Ask your surgeon...: Asking your surgeon would be most appropriate for answer suiting your need since multiple factors like general health, complexity of surgery inside, pain tolerance, etc. have to be considered. But in general, a time of 2 wks will allow surgical site to heal reasonably enough to endure indirect touch for stimulation. You may try with care and see since the features of post-op healing widely vary... ...Read more

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Hi, I had partial hysterectomy due to placenta accreta & previa also adhesions removed operation done abdominal vertical & I'm am bleeding irregularly?

Hi, I had partial hysterectomy due to placenta accreta & previa also adhesions removed operation done abdominal vertical & I'm am bleeding irregularly?

Talk to MD: Frequently, granulation tissue at the vaginal cuff will cause annoying vaginal bleeding. Easily corrected in the office. I know some people refer to a 'partial' hysterectomy incorrectly but if by partial you mean a supracervical or subtotal hyst, then your cervix is still present and that explains the bleeding easier. ...Read more

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I'm scheduled for robotic total hysterectomy with pelvic lymph node dissection for uterine cancer. What;s the recovery time?

I'm scheduled for robotic total hysterectomy with pelvic lymph node dissection for uterine cancer.  What;s the recovery time?

Quick : Robotic surgery allows rapid recovery. You will need to confirm the plan with your surgeon. Most likely you will stay overnight in the hospital. People usually take 2-6 weeks before returning to work ...Read more

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Gave birth 10w assisted by forceps. 2nd degree tear episiotomy. Mirena (levonorgestrel) inserted 5w ago and polyp removed 1 week ago. No infections but vulvar pain?

Gave birth 10w assisted by forceps. 2nd degree tear episiotomy. Mirena (levonorgestrel) inserted 5w ago and polyp removed 1 week ago. No infections but vulvar pain?

Not sure of question: Vulvar pain from trauma (tear, episiotomy, other causes) can sometimes take a while to resolve. Some times they persist and become chronic leading to a condition called vulvodynia and may need special treatment by your doctor. It may be due to neuropathic pain from abnormal neural activity, due to nerve injury, that persist despite no ongoig disease or acute injury. ...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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Had myomectomy-lap 7 months back.Removd 2 fibrds 3*4cm submocus intramural.Now pregnant 16 wks.Is it must to deliver through c-section after myomectomy?

Had myomectomy-lap 7 months back.Removd 2 fibrds 3*4cm submocus intramural.Now pregnant 16 wks.Is it must to deliver through c-section after myomectomy?

It might be: A c/s is generally recommended following a myomectomy that required entry into the endometrial cavity of a full thickness myometrial repair. The doctor that did the myomectomy is the person that can best advise about the need for a c/s. If they recommend that you have a c/s then i would recommend that you have a c/s. If the doctor is not available then your OB should review the op note. ...Read more

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Dr. Theodore Davantzis
2,542 doctors shared insights

Abscess (Definition)

Painful swollen ...Read more