WOMENS-HEALTH Messages for February, 2001: Re: abdominal hysterectomy vs LAVH

Re: abdominal hysterectomy vs LAVH

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sat, 10 Feb 2001 15:32:17 -0600 (CST)

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In reply to: Tammy: "abdominal hysterectomy vs LAVH"

At Sat, 10 Feb 2001, Tammy wrote: >
>Thank you in advance for any post concerning my question. After
>discussion with my gynecologist, I have decided to have a hysterectomy.
>I have been diagnosed with endometriosis and underwent a diagnostic
>laparoscopy in 1999 in which the endometrial implants were excised and
>followed this up with a 6 month course of Lupron therapy. I am now back
>to 2 weeks of agonizing discomfort each month, accompanied by back pain,
>nausea, vomiting and diarrhea.
>Birth control therapy is out of the question because of a diagnosis of
>pseudotumor cerebri which required the placement of a lumboperitoneal
>shunt to control my intracranial pressure and preserve my vision. With
>oral contraceptives, the extra estrogen aggravates this condition.
>I am aware that the recovery time is shorter and there is less
>discomfort with the LAVH, but I want to make sure that this shunt tubing
>does not accidentally become kinked or possibly pulled out through the
>vaginal incision during this surgery. Would the abdominal approach
>yield the best results in allowing for better visualization in the
>operative field. I've had 2 previous C Sections and bilateral tubal
>ligation.
> Thanks again for any input.

Tammy

With the lavh, they can see if the shunt is in the way, so I do not see that it will be a problem. I would go with the operative approach your md feel most comfortable with. Good Luck

--
William F. von Almen, II, MD, FACOG
Editorial Advisor-Pregnancy and Birth
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.

Next message: William F. von Almen, II, MD, FACOG: "Re: cervix gone??"
Previous message: William F. von Almen, II, MD, FACOG: "Re: what now"
In reply to: Tammy: "abdominal hysterectomy vs LAVH"

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