Laparoscopic Vaginal Hysterectomy Performed Successfully On CA’te D'ivoire CA’te D'ivoirenigerian Patient
Laparoscopic Vaginal Hysterectomy
Vaginal hysterectomy is a surgical procedure in which the uterus is removed through the vagina. One or both ovaries and fallopian tubes may be removed during the procedure, as well. A vaginal approach may be chosen if the uterus is not greatly enlarged and if the condition prompting the surgery is benign and limited to the uterus.
Laparascopic HysterectomyA laparoscope is a viewing tube through which structures within the abdomen and pelvis can be seen. A small surgical incision (cut) is made in the abdominal wall to permit the laparoscope to enter the abdomen or pelvis. Additional tubes can also be pushed through the same incision allowing the introduction of probes and other instruments. In this way, surgical procedures can be performed without the need for a large surgical incision
Laparoscopically Assisted Vaginal Hysterectomy (LAVH) is a procedure using laparoscopic surgical techniques and instruments to remove the uterus (womb) and/or tubes and ovaries through the vagina (birth canal).
A small incision is made near the navel. The laparoscope is inserted through this cut into the abdomen. A harmless gas also is put into your abdomen through this cut. The gas expands the space around your pelvic organs so that your doctor has enough room to look at and move them. The doctor can see your pelvic organs on a special TV-like screen. One or more other small cuts (–inch wide) in the abdomen are made and, these cuts are used to insert devices to move the pelvic organs and help remove the uterus. Devices that may be used include scissors, forceps (grasping device), clamps, or a special stapling device. Some doctors may use an electric tool to cut tissue or stop bleeding. A cut is made where the uterus joins the vagina. The bladder and rectum are gently pushed off the uterus. Then, the uterus is removed through the cut made in the vagina. The cuts in the abdomen and the vagina are closed with stitches.
Advantage of LVAH is incision are relatively small, the scars, pain and recovery time from LVAH are usually significantly less with an abdominal hysterectomy.
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Frequently Asked Questions
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QUESTION:
had a laparoscopic myomectomy on Monday. Has anyone felt horrible shoulder pain with this type of surgery?
My recovery seems to be going nicely except for shoulder pain! Not sure why? It has something to do with the CO2 gas they pump into you. I was just curious if anyone else had experienced this weird, and awful pain with the shoulder. If so, what did you to do ease the pain?-
ANSWER:
I had that procedure done about 3 years ago. The CO2 is exactly why your shoulders hurt. The are able to get most of it out, but the gas that still lingers behind in your body is rising and trying to escape through your shoulders. I just took painkillers and used a heat pad. It goes away in about 3 days or so.
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QUESTION:
What’s the $ costs of removing fibroid, cyst and mass by Laparoscopy or Hysteroscopy? FL and non-FL surgery.
Ultrasound images shows that I have an enlarged uterus (10.4 x 5 cm) with a 8 cm mass that might be a fibroid. There are also a 3.7 cm cyst and a 9 cm “complex mass which is predominantly solid”. An MRI was recommended by the analyst.I am in the process of scheduling an MRI with a OB/GYN. The one I am referred to is not on my insurance’s “Preferred Privider” list, but he is the best in town. Since surgically removing the masses by Laparoscopic Myomectomy or Hysteroscopic Myomectomy is very likely, I am worry about the costs, my insurance will only cover 60% for out-of-network surgeon. Can anyone share their experience? The cost of:
– MRI
– Hospitalization and Surgery
In short, how much is the total bill (before insurance reimbursement) to get the whole thing done and be over with?-
ANSWER:
Laparoscopy surgery is very safe nowadays. My cousin got her Hernia and colostomy surgery in India by a company called Forerunners Healthcare .The Price for Minimal Invasive and Laparoscopy surgery is very less in India. She paid 25% of the cost she was quoted in America.Forerunners Healthcare is very famous in India. They arrange Hernia, Appendectomy, Thyroid and other laparoscopy surgery for foreigners in India.
I read a lot about them in the Newspapers and about their patient stories. They arrange financing for USA, Canadian, UK and other international patients who plan to have surgery abroad for low price, as the Hernia, Colostomy and other minimal invasive surgery is not covered by insurance. They also have photos pasted of their International patients. You can checkout their website. There are huge cost savings. As a doctor I personally believe that surgery can be easily handled in India, as the quality of healthcare available In India is simply best in the world. The surgeons are USA/UK trained and facilities are 5 star.http://www.forerunnershealthcare.com
Hope this helps.
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QUESTION:
Uterine Fibroid…Myomectomy in 2 Weeks. What to expect?
I found out I had a fibroid in 2008 after moving and lifting heavy furniture caused me to start bleeding and not stop…I did a ultrasound and had a 4.3cm fibroid. Doc gave me birth control and all was fine I only took the birth control for 6 months. In March of this year I got severe pains (really bad) and my cycle started acting up…I was/am just spotting no period at all. Doc has given me more birth control (on 2 weeks now) and I did another ultrasound and the fibroid is now 7.3cm. Im 29 and no kids…I have decided to have surgery in two weeks to get it removed so that I wont have any problems when I get married March 2011 and we start trying for a baby. Doc said the fibroid is on the outside of the uterus in the front at the top. Doc said fibroid could be pushing the uterus down and causing me not to get pregnant so she will also be checking for blockage when she does Myomectomy by using a dye to check the flow. Doc doesn’t suggest Laparoscopic myomectomy because of the size and said it might cause a lot of bleeding so I will be having a Abdominal myomectomy. I have never had to go to the hospital for anything. What should I expect as far as surgery and for recovery time? Your experiences are greatly appreciated.-
ANSWER:
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QUESTION:
myomectomy during period?
Hi
I am scheduled to have myomectomy(Laparoscopic) in 2 days, for removal of a 8cm fibroid, spanning the walls of the uterus, but I started spotting today..will they still do the surgery?Long ago when I asked this question,the nurse was very vague about the answer..she just said it depends on the stage of the cycle..Dr.s office is closed for the next 2 days..can anyone please answer?-
ANSWER:
Sounds like the nurse didn’t know but was to embarrassed to admit it….It’s not a problem, the surgery can still go ahead.
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QUESTION:
i am missing my period?
i am 40 yr old female,i have no kids, i underwent laparoscopic myomectomy in may2007 since then periods were irregular now i havent got after oct05,i am not pregnant i know,how long it takes to get regular periods after surgery?i had regular periods b4 surgery and my scan after surgery is absolutely normal……plz help i want to have a baby soon ao i am worried-
ANSWER:
Have you talked to your gynecologist about this? He or she is much better to answer this than us.
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