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Re: LAVH - was: GYN: LSH vs. LAVHFrom: Garry Siegel (garrys@mindspring.com)Thu May 31 20:07:51 2001
My medline search wasn't helpful in terms of my original question--has anyone studies the purported benefits of a laparoscopic supracervical hyst (LSH)versus a LAVH. Dan, I do morcellate on TVH, or LAVH. If the uterus is big, and doesn't descend well, I enjoy securing the IPs or disconnecting the adnexa from above. Today, with a 12 ish week sized uterus, I secured the uterine vessels from above, amputated the fundus (just like a TAH for big fibroids), and used a power morecellator to get it out (Alternatively, I could have left the fundus in the pelvis, gone below and taken out the cervix in two bites/side, and then morcellated the uterus). It was my first useage of the power morcellator, and it is cool. FWIW, one the uterus is 12 weeks or more, I'm a bit reluctant to do a straight TVH/morcellation. I'm sure that others are bolder, or more timid. Garry
-- Garry E. Siegel, M.D., F.A.C.O.G. Roswell, GA Private Practice
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