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Re: Laparoscopic supracervical hysterectomy - Dr. Bradley?From: J.Glenn Bradley MD (anonymous@obgyn.net)Sun, 31 May 1998 12:21:06 -0500 (CDT)
At Sun, 31 May 1998, Jean wrote: > >Dear Dr. B: Although I have already had a TAH/BSO, I am still very >curious about this procedure. The question I have is this - does this >procedure require special training by a physician? That is, would most >obgyns have the capability for performing the procedure. It sounds like >a God-send for many ladies out there and I am wondering how accessible >this procedure would be to everyone. >Thanks for your time! >Jean > >-- >"Life is not the way it is supposed to be. It is the way it is. >The way you cope with it is what makes the difference." > Jean: Laparoscopic Supracervical hysterectomy is relatively new, although it has been around for a few years. The problem has been the removal of the uterine tissue through 1/2 to 1 inch incisions!. The now available efficient power morcellator allows even large fibroid masses to be removed in minutes, but still leave the cervix in place. Not all Gyn's are comfortable with some advanced (technically challenging) laparoscopic procedures, but if a Gyn can perform a laparoscopically-assisted vaginal hysterectomy, IMHO, most such individuals can perform most cases for LSH. Nonetheless, at surgery, one might find conditions warranting conventional open surgery (twice in the last 27 patients), so one cannot guarantee LSH until it's finished. Our observations re: rapidity of recovery still amaze me. Recently, one of my same-day-discharge-patient (No pain medication, whatsoever) entered a horse-show 12 days after surgery!! I think you will be hearing a lot more about LSH in the near future. Dr.B
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