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LASH procedure LASH procedure

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  #1  
Unread 09-01-2002, 08:55 PM
LASH procedure

I'm going to be having the new LASH procedure done..It is Lap Assisted SupraCervical Hysterectomy. The cervix stays, the uterus is removed. I will have a choice about keeping my ovaries. So far, I'm planning on keeping my ovaries. Has anyone had this procedure done recently? Is the recovery period what the dr says, 2 - 4 weeks? And how quickly during that time are you "up & about?"

Also, since my ovaries will be intact (barring any problems)...is there less likely a chance of any depression? If you've had this done......Are you pleased with the results?
  #2  
Unread 09-01-2002, 09:05 PM
LASH procedure

I don't have any experience with it, but try searching for "LSH" or "Laparoscopic Supracervical Hysterectomy (or Hyst)" for more info - since what you're decribing isn't "Assisted" (like an LAVH, where the entire uterus, including the cervix is removed), but is a purely laparoscopic surgery.

I know there are several sisters around who've had this recently, so you should be able to find some good info on it.
  #3  
Unread 09-01-2002, 10:32 PM
Speedy Recovery

I had an LSH in June. The surgery went well and the recovery was speedy. I had no problem going home in a few hours, going for short walks after a couple of days, and going back to an office job in 2 weeks.

I did keep the ovaries, but I went through a couple of emotional weeks.

Just one thing: the procedure is great, but it requires a skilled and experienced surgeon.

I hope your surgery goes as well as mine did. Good luck!
  #4  
Unread 09-01-2002, 10:59 PM
LASH procedure

Hi there,

Can either of you explain alittle more about this procedure?
Is it all lap? So how many little holes in the abdomin for it?
Do either of you have a large uterus? And this surgery would have a little machine that chews up the uterus ?

My doctor mentioned this option months ago (before she said to wait )and my uterus is big. I doubt she is highly skilled though. If this is better, why is anyone having a TAH?
Thanks,
Maralyn
  #5  
Unread 09-02-2002, 07:29 AM
LASH

I was told there would be 3 small incisions as opposed to one large one. I have the option of keeping my ovaries.....My cousin would have had this procedure except that her fibroids were too large.....so I guess it depends on the situation. I haven't heard about what they do with the uterus....that's an interesting thought though! I'll have to ask my dr. I hear through the grapevine that since this is a NEW procedure being done, that experience is better......so check on that.......
  #6  
Unread 09-02-2002, 07:44 AM
LASH procedure

  Quote:
Originally posted by Maralyn
Can either of you explain alittle more about this procedure?
Is it all lap? So how many little holes in the abdomin for it?
Do either of you have a large uterus? And this surgery would have a little machine that chews up the uterus ?

My doctor mentioned this option months ago (before she said to wait )and my uterus is big. I doubt she is highly skilled though. If this is better, why is anyone having a TAH?
Hi Maralyn,

The type of surgery a patient has depends on their particular symptoms that warrant a hyst AND the doc's level of surgical skills. Any of less-invasive surgeries can develop into the more invasive TAH during the procedure (bumps in the road!)...

Here is a link to a hostess story about the hysterectomy done totally with laparascopic instruments: http://www.hystersisters.com/vb2/sho...&threadid=8492

Hope this info helps
  #7  
Unread 09-02-2002, 08:40 AM
LSH Improvements

Laparoscopic surgery in general is pretty new. The LSH procedure is less than 10 years old, so many improvements have been made, even since Dixie Tracy's (http://www.hystersisters.com/vb2/sho...&threadid=8492). For example, I didn't need morphine after the surgery, the catheter was removed before I went to recovery, and I went home about 5 hours after surgery.

My surgeon uses 4 incisions, but I can't see the one in my bellybutton. The incisions on each side are about 1/2" long, and the bikini line one is 1 to 1 1/2" long. I had stitches, but lots of sisters have glue or just have steri-strips.
It was no problem even though my uterus was at the 18-20 weeks size. The doc didn't mention Lupron. I don't know of any way to do LSH without a morcellator, the instrument that cuts the uterus into small strips that fit though the small incision. LSH is mostly electrosurgery, so the blood loss is minimal. I was anemic, so that was important to me.

Things can go wrong. My surgeon also does a cystology procedure immediately after the hyst to make sure there are no nicks in the bladder or ureters.

Laprascopic surgery isn't for everyone. For example, if there is any indication of cancer, your surgeon will most likely want to do open surgery so the stage of the cancer can be determined.

There are lots of reasons for TAH. I think some women who have TAH could have had LSH, but they trust their surgeon who is more capable with TAH and don't have convenient access to a skilled laproscopic surgeon.
  #8  
Unread 09-02-2002, 06:24 PM
LASH procedure



Thanks for the input ladies. Been gone today, but will read the sites tonight. I was thinking when mredeagle first posted she was referring to a really new procedure because of the A in the LASH. My doctor had called it Supracervial Hysterectomy and I assumed she meant done by lap only, no vag assist. Now, I believe mredeagels surgery and what my doctor were talking about is the same thing. My appt is 9-11-02. I'll find out the details then. I bet she still won't want to operate. Well, It's time for me to read up. Thanks again,
  #9  
Unread 09-02-2002, 06:48 PM
9/11/02

yes I'll be anxious to hear about your appt...thanks!
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