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Is a TAH safer than a LAVH? Is a TAH safer than a LAVH?

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Unread 10-26-2004, 07:35 PM
Is a TAH safer than a LAVH?

I'm scheduled for a LAVH on 11/17. I've been doing some research on the internet and it seems like a LAVH is a more complicated surgery than a TAH. I know the recovery time is a little longer for a TAH but wouldn't it be worth it?
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Unread 10-26-2004, 10:06 PM
Is a TAH safer than a LAVH?

I think that's a question you'll need to ask your DR. It depends a lot on your particular anatomy and the reason you're having the hysterectomy. It also depends on which type(s) of surgery your DR feels most comfortable doing.

For example, I had a TVH because I had such a bad prolapse that my cervix was already outside my vagina anyway. As another example, ladies with high probability of cancer, or very bad endo, generally have TAH's because the large incision (often vertical in those cases) affords a clearer view of the situation and minimizes the risk of spreading cancer cells through the abdomen.

The overall recovery time for all the different hysterectomies is about the same; however, ladies with less invasive surgeries tend to feel "all better" a little earlier. That may or may not be a good thing, because it means that sometimes they tend to overdo it too early in their recovery.

Why not ask your DR why he/she has scheduled an LAVH?
Unread 10-27-2004, 07:54 AM
Is a TAH safer than a LAVH?

I was scheduled for LAVH with my first dr but changed drs and #2 says NOOOO for me. I have had 2 c-sections and tend to build scar tissue, also, he was concerned about lack of elasticity "down there" since no babies head ever stretched it out. He said that he would have a difficult time having room to work. I truly dread the recovery from the TAH that I am having next week but I feel like it is the best option for me. Each person is different and you must have confidence in your surgeon to do a good job, whichever technique the two of you choose. Talk to your dr if you have questions. I would prefer the more rapid recovery from LAVH but not at the expence of bladder or bowel damage.
good luck
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Unread 10-27-2004, 08:34 AM
Is a TAH safer than a LAVH?

Like with any surgery it carries risks no matter which way they do it.
I was scheduled for a TVH possible TAH depending on what they found when i was on the table. an LAVH is just the same they will decide once your out, because they can then assess if your cerix and uterus are able to come down easily, and that they they are not to large. If neither of these oprions are any good then they will do a TAH.

I was lucky I had the TVH with difficulty, because there is only a small area to work in and to get things out.
I was told that with having a LAVH or a TVH the recovery rate is quicker and already at post-op almost 2 weeks, I feel fantastic.
BUT it is not the same for all women, and I suggest you write down a list of questions for your doctor and let them settle your worries.
May I wish you good luck.
Unread 10-27-2004, 10:13 AM
Is a TAH safer than a LAVH?

It's important to remember that all though you may feel better a little faster after a vaginal hyst because of not having an abdominal incision, other than not having the external incision, there is NO DIFFERENCE in the internal work that is done. The internal healing takes as long with a vaginal procedure as with an abdominal. There are cut surfaces that have to heal. Ligaments that have been cut and reattached that have to heal in their new location. The internal healing can't be visibly checked, so you just have to take it on faith that you need the time to heal, no matter how you feel.

Like Linda already said, there is the danger that you feel better on the outside and do too much and risk damaging the internal healing. Some damage may not become apparent for weeks, months, or even years.

So please remember: no matter what type of procedure you have allow your body the time it needs to heal. You only have one chance to heal properly.

Best wishes.
Unread 10-27-2004, 11:06 AM

I had the LAVH with ovary and cervix removed. I was only in hospital 23 hours. No pad or pain meds (except mortrin) after surgery. Only real pain was from the gas. I was out to dinner on the 5th day, and dinner and dancing on the 12th. What I been told by my doctor and pamphlet given to me is that a LAVH is easier on the body because the can make direct cuts where needed and you avoid heavy bleeding and fewer complications. My doctor also told me that after surgery I would have two to three small incisions (only had two, one in belly button, and one about a 1/4 inch long in pubic hair) and they would hurt some. He said that the top of the vagina has no nerve endings and I would not feel any pain there. He was right about my surgery. Felt no pain vaginally at all! I DO remember him telling me that since I've HAD children, I am a good canidate for the LAVH. I recommend the LAVH to anyone who has that option. Just make sure the reason your not getting one is because your not a good canidate, instead of because your doctor is not trained to do one.

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