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abdominal vs. lapro abdominal vs. lapro

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Unread 01-13-2004, 01:21 PM
abdominal vs. lapro

Does anybody have an idea what is the "cutoff" in terms of size of fibroids or size of uterus at which an abdominal surgery becomes a requirement.
I have 6 or more fibroids (biggest is 6.5cmx5.5) and a 14week uterus. Has anybody with similar case had a LSH or LAVH ? I would really appreciate any input.

Thanks so much, this site is really helpful.
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Unread 01-13-2004, 01:27 PM
abdominal vs. lapro

Hi Aine,

I have a 9 week uterus from multiple fibroids, and uterus is retroverted. Was told that because of same as well as having a narrow vagina, I must have TAH instead of LAVH. Bummer for me but you may still be a candidate for LAVH. Good luck

Unread 01-13-2004, 01:48 PM
abdominal vs. lapro

I had an LAVH. I had a 4 to 5 month uterus. The doctor didn't say anything about my vagina being too narrow or anything (I've never had children).

I don't know if this is the norm, but he did say something about dissecting the uterus and bringing it out through the vagina.

Could someone let me know if dissecting the uterus for vaginal removal is common?
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Unread 01-13-2004, 02:14 PM
abdominal vs. lapro

From what I understand, that's the "norm" for LAVH. My uterus is 13 week and too big for a TVH, and my DR says I'm a good candidate for a LAVH (I still could have to get a TAH). Because of the "dissection", your uterus can be bigger for a LAVH than a TVH. I haven't had children either.
Unread 01-13-2004, 02:15 PM
abdominal vs. lapro

My doctor put me on Lupron to try to shrink the fibroids enough to do a laproscopic procedure, latest is that he thinks it's working!
But, I read an article in which the chief of surgery at the hospital where I'm having my surgery said fibroids as large as a grapefruit could be removed using laproscopic procedures. That made me feel better! One thing my doctor said which didn't make sense to me was that the size of the fibroids precluded a vaginal procedure, but not a laproscopic? I guess I'll have to ask him about that. I think a lot of what doctors recommend, though, has to do with their training and experience.
My understanding, by the way, is that it is the norm to dissect the uterus in both laproscopic and vaginal hysterectomies.
Unread 01-13-2004, 02:23 PM
abdominal vs. lapro

I just posted then read silverbird's reply and remembered the difference between TVH and LAVH!!
Unread 01-13-2004, 02:34 PM
abdominal vs. lapro

I had a 20 wk uterus.. and I had a TVH - no lap assist. However.. in the middle of it, I was prepped for a TAH.. because the doctor thought he may have to cut anyway. Luckily.. I had given birth 4 times vaginally and he was able to get the uterus out without cutting my tummy.

I was full of fibroids and had adenomyosis.
Unread 01-13-2004, 03:09 PM
abdominal vs. lapro

I was told that I have to have mine abdominally. My uterus is 12 cm (don't know what that means in terms of months) and I have a 2 inch fibroid.
Unread 01-13-2004, 08:07 PM
abdominal vs. lapro

sometimes the choice comes down to the discression of the physician.

I had an enlarged uterus but was able to have a LSH, however, I was not a candidate for an TVH because I ahve never had children.

I was also given 2 different opinions from doctors within the same practice, and I am extremely lucky that I had a wonderful gyn to perform the LSH. While I am sure that there are guidelines for both procedures, it ultimately comes down to what youy physician is comfortable with.

I hope that you are able to have the procedure you desire, feel free to conact me if you have any questions regarding the LSH

Unread 01-13-2004, 09:16 PM
abdominal vs. lapro

tx soo much for replying,

It definately sounds like physician discretion. I have two more appointments for 2nd and 3rd opinions. If I have too many/too big, I think I might opt for Lupron (in spite of horror stories). I am the main bread winner and can't be out for 6 weeks...

Does anybody know what sort of exercises you can do to help heal up faster after surgery. I have looked on web site but can't see anything specific?

TX and hugs to all!

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