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Total vag hyst vs. laprascopic hyst Total vag hyst vs. laprascopic hyst

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  #1  
Unread 09-19-2005, 06:53 AM
Total vag hyst vs. laprascopic hyst

Question for all those pre op and just post op. I am scheduled for a Total Vaginal Hysterectomy October 10th. I am 31 years old with 3 children. My youngest is almost 2 years old and very cuddley and clingly. He wants to be held A LOT. I have heard that with the total vaginal hyst, you have more stiches and can be a little more uncomfortable due to them. I wondered if it also required more lifting restrictions and for a longer period of time since you had more stiches. I had heard that the laproscopic hyst is most popular. Is it true that people have less pain and don't have to be on lifting restrictions as long? Also, I thought I had heard that doing the surgery this way helps to maintain some extra vaginal stability. Anyone know the answer to any of these questions?? I know that my doctor said she thought I was a candidate for vaginal because I had 3 vag deliveries and one was not that long ago. I am just wondering if it is the right decision to go vaginally due to my home life. I will not be able to just lay around all day. I will have three kids to take care of with some assistance from my hubby and mom. Any info would be greatly appreciated!!! Thanks!
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  #2  
Unread 09-19-2005, 08:56 AM
Total vag hyst vs. laprascopic hyst

Hi. While I don't have the specific information to offer, I do know that regardless of which kind of surgery you have, you'll HAVE to take it easy!! No matter if there are no visible incisions-it is MAJOR surgery. Your body has to be allowed to heal. I can't remember for sure but I think the lifting restrictions are at least for two-four weeks. I'm kinda scatterbrained today, so don't quote me on that.

Basically, I'm trying to say: YOU MUST TAKE IT EASY

Your kids will have to understand that mommy needs a little healing time and so will your hubby and mom. This isn't something to mess around with. I know it's gonna be hard to have to keep children off of you and to refrain from activities that you would normally do, but you've got to think of this in long-term areas. If mommy takes care of herself now, she will be more able to take care of others in the near future!

YOU deserve to take care of yourself!! You're worth it! Take it easy hun!!
  #3  
Unread 09-19-2005, 09:32 AM
Total vag hyst vs. laprascopic hyst

Thanks for the advice crown jewel. I do believe that taking it easy will be the biggest hurdle for me. I love my husband, but he is not always the most supportive. I know he will be somewhat good the first week, maybe even two if I'm lucky, but it will be rough after that. I am grateful for my mom, but I can only ask or expect so much. My older kids had such anxiety the last time when I had the ablation that we are trying to keep things as normal as possible. In fact, I may not even tell them until it is done and over with. My middle child( 5 years old) started school this year and had a terrible time with separation anxiety after I had the ablation and tubal. I know that was nothing compared to what I will experience this time. They are not used to mom being away or slow paced. I am ALWAYS on the go cooking, cleaning, playing with the kids, helping with homework, working 3 days a week, bringing kids to lessons! I know I have to rest! I'm sure my body will let me know when to much is to much! Thanks for the reminding. I know I will need it often to stay on track and have an uneventful recovery!
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  #4  
Unread 09-19-2005, 11:33 AM
Total vag hyst vs. laprascopic hyst

Hi, I completely understand what you are saying. But you cannot pick up your kids for at least a couple weeks (check w/ your dr.) As far as waiting for your body to tell you when to quit, nope that won't work until after a couple weeks. You have no choice but to rest, rest, rest, until your dr. tells you otherwise. My 5 year old dd, had a hard time w/ mommy not being able to pick her up, but she dealt with it ok. She started giving herself her own showers and all sorts of things. It was harder for me to deal with than her. Give them a chance to deal, it will be ok. I know it is hard, I too have had numerous surgeries since my dd was born, but each time we got through it, and when I could finally pick her up she was ecstatic. Anyway, point being please take it easy, so you can recover sooner and get back to a normal life. Otherwise you could hurt yourself long term. Best of luck with your surgery and recovery. Keep us posted.
ConnieK
  #5  
Unread 09-19-2005, 07:16 PM
Total vag hyst vs. laprascopic hyst

I'm a bit confused here. A TVH is a TVH. There are two different kinds of laprascopic hysts. An LAVH and an LSH. The LAVH is done vaginally, cervix taken (similar to a TVH except they have the benefit of the scopes to look around inside). The LSH leaves the cervix intact.

There shouldn't be any difference in healing time between the TVH and LAVH. I had a LAVH and lifting restrictions for 3 weeks, but even then I was scared to lift anything over 10 lbs.

I guarantee a TAH (abdominal) will have way more restrictions. Unless your doctor is planning on leaving your cervix, lifting restrictions/driving, etc. should pretty much be identical for TVH vs. LAVH.

Hope this helps.
  #6  
Unread 09-19-2005, 07:38 PM
Total vag hyst vs. laprascopic hyst

I had a LAVH, A&P repair, bladder sling and tummy tuck one week after my youngest turned two. It was hard for him at first, but after a few days he would just come up to me and say, "Mommy tummy hurt" and very lightly pat my tummy. You MUST have help and, at least for the first week or so, you MUST have supervision while the children are in the room with you. It is difficult, but you only get one chance to heal well. Try to line up some play dates or at least have some help in your own house for as long as you can. Both my GYN and my PS agreed no lifting for me for 6 weeks. After about 3 or 4 my son could climb up into my lap on his own as long as he was gentle. He learned very quickly that if he wanted to cuddle with me, he couldn't be rough and tumble.

Hope this helps!
  #7  
Unread 09-19-2005, 08:07 PM
Total vag hyst vs. laprascopic hyst

Special Friend,

I just had a TVH/BSO on 9/13. First of all, everybody heals DIFFERENTLY. With that being said, I am doing fantastic!! I have to force myself to rest, rest, rest!! I have a 12-yr old son and a 5-yr old daughter. My son does a lot of chores!! I have him carry the laundry basket to the washer, I switch things, he carries it back so I can fold it. He vacuums, etc. My husband does most of the cooking--I can put together a sandwich, etc. The point is, I FEEL like I can do those things, but I DON'T!! I have NO pain until the end of the day and even then it is just a little achy feeling. I do wear out quickly at this point, though.

As far as my daughter goes, she likes to sit on my lap alot. I just told her that mommy has a booboo on the inside and she can't sit there for awhile. I keep a small pillow on me when she is nearby (just in case). She has tried a couple of times to get up on me and I just remind her and she seems okay with it.

I know a lot of women who have had the abdominal hyst. and were out of commission for a few weeks. If you have your choice, go with TVH because the recovery time is shorter for most women. The hard part is reminding yourself that you still have had major surgery and to take it easy!!

Good luck with your decision and surgery.
  #8  
Unread 09-19-2005, 09:09 PM
Total vag hyst vs. laprascopic hyst

Like Panther says, there are basically 3 types of hysts:

Abdominal, vaginal (sometimes Laparoscopically assisted, sometimes not), and the Laparoscopic supracervical.

The LSH (lap supracervical) may be the one that you've heard is "most popular." It is certainly the easiest to recover from. But, you need to be a candidate for it (no history of bad Paps), and you need a doc who is trained to do it. It's a fairly new procedure. They use a device called a morcelator to shred your uterus (after detaching it from the cervix), and then vacuum it out of you through a tube in your belly. I had my hyst done that way, and I think I had only 2 internal stitches on my cervix, and 4 lap incisions on my belly that were closed with glue and steri-strips. This is *not* a vaginal hyst, since everything happens laparoscopically--you don't "deliver" the uterus through the vagina.

If your doc is saying that you are a candidate for vaginal surgery, she is probably saying that they don't need to make a large incision in your abdomen to get your uterus out. They will make an incision at the top of the vagina and pull the uterus out through it, detroying the cervix the the process. You *would* have all those internal stitches still! If you have a LAVH (lap assisted vaginal hyst), you will have the internal stitches and the small lap incisions in your belly as well. The benefit of this surgery is that they can put in a laparoscope (a light and camera) that shows your insides on a screen, so they can see what they are doing more easily. This enhanced view helps *some* women avoid having the abdominal surgery.

If your doc is saying "total vaginal," that means removing your uterus through your vagina. Total= uterus *and* cervix, while subtotal (or supracervical) = just uterus. This all has nothing to do with the ovaries.

With 3 little ones, you really *do* need to get your help lined up before hand. If anyone offers to take them off of your hands, accept!! I have 2 little ones, and I know how hard it is when they are even within earshot--you feel like you *must* respond! You cannot lift them! Put your youngest on your lap for cuddles when you are comfortable enough. Have them lay on your bed with you and watch kids' movies, if you have or can bring a TV into your room.

Good luck, Sweetie! Really, if you don't take care of yourself and give yourself the chance to heal properly, you could be in for more surgeries down the road! That would be harder on everyone.



Margot
  #9  
Unread 09-19-2005, 10:21 PM
Total vag hyst vs. laprascopic hyst

I , too am 31 and have 3 children. I am to have a TVH in six days. My concern is not only my children, but I am a daycare provider in my home. I have help for two weeks straight and the third will be off and on. My nephew is 1 years old and 30 lbs. and my sister in law does not understand why I can' t lift him after my help has ceased. What were everyone's weight limit when they had a hyst? I can' t make any money if the kids are not there, but I can't take care of the kids in the manner I am used to. ANy suggestions?
  #10  
Unread 09-19-2005, 11:03 PM
Total vag hyst vs. laprascopic hyst

Gemini...

I wish I had suggestions instead of just warnings! Is there any way you could get some people from church to help out? You really are going to need help for more than the first 2 weeks. I hope "help" means that you will be resting with your feet up and sleeping a lot, while your helpers run the daycare!

Your nephew not only weighs 30 pounds, I'm assuming he wiggles, too! You just can't be lifting, bending *and* twisting your torso that way! Also, I don't know what your energy will be like by the end of week 2. I'm pretty sure a doc would not release you back to work, esp if he/she knew you worked with small children!

You don't have a choice here. You've either got to get more help--I would say through at least the end of week 4, or just shut down for a few weeks and take the financial hit. It sounds like it would be *so* easy to re-injure yourself in your line of work!

I had an LSH. 6 months later, because my cervix was bleeding 12 days a month and cramping a lot, I had it removed, along with a urethra suspension. 12 days after that second surgery, I popped a stitch on my cuff and hemorrhaged. And then it was bed rest for a few days! And, all I did to cause this was to drive 2 days before I was supposed to to the library, where I crawled around on the floor of the children's section, picking out about 15 books for my kids. I carried the books back to the car in a tote that I hooked over my shoulder. And later that night, the flood started!

You won't see a big wound on your belly, but you have to remember that you will have tons of stitches inside! Plus, there is always the chance with any surgery that there will be unforeseen circumstances, complications, etc. Some women start with a TVH and then the doc realizes that they won't be able to get the uterus out that way after all, and convert to abdominal.

I'm sorry to be such gloom and doom...probably all of your surgeries will go exactly as planned and you will heal well. Even so, you can't be lifting a 30 pound toddler at week 3!

Good luck to all you future princesses! Be good to yourselves!



Margot
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