|
to Dr Braun question regarding Vaginal Hysterectomy vs other
From: Shelly (anonymous@obgyn.net)
Sun, 10 Dec 2000 16:31:56 -0600 (CST)
Once upon a time I read somewhere vaginal hysterectomies were more
likely to result in an infection then other types. Have you ever heard
this? Also, with a vaginal h. can the cervix be retained? For many
women retention of the cervix helps maintain a level of sexual response
and enjoyment. If you’re going to cut the uterus up into pieces for
removal why couldn’t you us a laproscpe?
At Thu, 7 Dec 2000, R. Daniel Braun, MD wrote:
>
>At Thu, 7 Dec 2000, Donna wrote:
>>
>>At Wed, 6 Dec 2000, Lily wrote:
>>>
>>>I have just had an ultrasound and it shows my uterus as being enlarged 4
>>>1/2" in length and 2 1/2" in diameter. There is an internal fibroid
>>>posterior left of fundus 2 1/2" X 3" X 3 1/4". I feel like there is
>>>pressure on my bladder. One doc tells me he could do a vaginal (no
>>>lap)and the other one says no. Is it possible or not? Would it be
>>>better to do an abdominal? Thanks,
>>
>>I am scheduled for a vaginal hysterectomy 12/26. My uterus is slightly
>>enlarged with several small fibroids on and in it. My gyn is very
>>confident about a vaginal procedure, and can even grab the ovaries that
>>way. I asked her what the chances are she'd have to convert to the full
>>abdominal cut, and she said it's not likely at all. The only thing she
>>forsees is if I have adhesions (I've had them before) and at that point
>>she'll only have to resort to a laparoscopically assisted vaginal
>>hysterectomy (LAVH) I saw one of these done on tv, (if you get TLC or
>>Discovery channel, it's showing again very soon--called "The Operation")
>>and if your uterus is very large they can even 'dissect' it through the
>>scope and take it out in small pieces, to avoid that abdominal incision.
>>Hope this helps!
>
>As I said in my other reply, the uterus can also be cut up into small
>pieces and brought out through the vagina.
>
>RDB
>
>--
>R. Daniel Braun, MD FACOG FOG
>
>This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional. Due to time constraints, private e-mails cannot be answered.
>
|
|
![[ Women's Health Forum ]](http://www.obgyn.net/images_women/wh-forum.gif)