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Laparoscopic supracervical hysterectomy Laparoscopic supracervical hysterectomy

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  #1  
Unread 10-28-2005, 11:47 AM
Laparoscopic supracervical hysterectomy

Hello Sisters!
My name is Lisa, I am 47 and am scheduled for a Laparoscopic supracervical hysterectomy on Nov 8th.
I have multiple fibriods and a uterus the size of a 12-14 week pregnancy. I have just 1 submucosal fibroid but it is causing terrible bleeding, but only during my periods. I am not bleeding all the time like some.
I have been totally unwilling to do a typical hysterectomy but am considering going through with this one because there are only 3, 1/2 inch incisions and just the uterus is removed. The ovaries and the cervix are left in tact.
Supposedly the post-op pain and recovery are greatly reduced with this type of surgery.
I would really like to talk to others who have had this and also make people aware of this kind of surgery. This is a pretty new option.
I am wondering why he isn't opting for lasering this one submucosal fibroid during an hysteroscopy and have a call into him on this.
Anyway I am anxious to hear what you know about this.

Lisa
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  #2  
Unread 10-28-2005, 11:56 AM
More Info on Laparoscopic Supracervical Hysterectomy

Laparoscopic Supracervical Hysterectomy


Another new surgical option is laparoscopic supra hysterectomy (LSH), a method using the laparoscopic procedure alone to remove a woman's uterus while preserving her cervix. The benefits of laparoscopic supracervical hysterectomy compared with laparoscopically-assisted vaginal hysterectomy are significant.

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  #3  
Unread 10-28-2005, 12:31 PM
re: LSH

Hi! I had a LSH (laparoscopic supracervical hysterectomy) on Aug. 17. My procedure lasted about 1 1/2-2 hours for large fibroids that were growing from wall to wall and were causing me terrible pain and periods for sometimes 2-3 weeks out of the month.

I went in for surgery at about 12:30 and was in my room between 3:30 and 4 in the afternoon. I was starving since I hadn't been able to eat since the night before so by 5:30 pm I was eating chicken fingers and pudding. They put a catheter in during surgery, so I didn't have to get up. I was alert, comfortable and able to carry on conversations and see visitors.

I dozed on and off and was on an IV painkiller till later in the evening. They took it out before I went to sleep and got me up to walk, although I didn't walk far. They monitored my urine output and before I went to bed I had a hydrocodone and a sleeping pill. Sleeping pill did nothing but make me restless.

My doctor visited about 5 pm, then at 9 pm that night, then was there at 7 am the next morning and discharged me!! They took my catheter out that morning before I was discharged. I hardly knew they did it--no big deal.

I was tired but it was great to be home. I did not have any terrible pain (not anything like my severe cramping), but I was uncomfortable and took hydrocodone for about the first 3-4 days. Once I was home I was able to get up and walk to the bathroom without any trouble.

I had a hard time with the anesthesia--I was literally sleeping 20 hours a day for the first four days. I also didn't have any appetite, but found a combo of protein (cottage cheese, peanut butter on toast) and cranberry juice was tolerable. After the first four days I was napping on and off, but was alert and totally comfortable.

I had one setback, that turned out to be very aggravating if not life threatening. I developed a circulation problem with a superficial vein in my right leg. This is not an unusual occurrence with abdominal surgeries. They had put the support hose and circulatory boots on me, but I had difficulty walking without pain for 2 weeks, and now when I walk the vein will bulge. It is not a varicose vein, but the vein was evidentally traumatized enough for some scar tissue to slow the flow of blood through the vein.

I have a pretty stressful job, although it's a desk job. I was back to work full time (8:30 -4:30) five days a week at 3 weeks, and then my next three weeks I had to work six days a week. After that I was totally exhausted and caught some viral bug that laid me low for a week.

I'm at eight weeks now and working my normal five day a week schedule, and I'm walking 30 minutes a day 4-6 days a week. HOWEVER, don't let anybody tell you you'll be back to normal. I'm 46, was physically active before, and after work each day and my walk, I'm pretty pooped. I'm cooking dinner, but I'm in bed by 9:30 and then it's still hard to drag myself out of bed at 7 am.

The way I see it, you can do normal activities, but your energy level doesn't come back that quick.

Also, be sure to read up on swelly belly on this web site. My doctor didn't mention it, but I definitely have abdominal swelling that pretty much follows what people write about here. Mornings are pretty good, but as the day wears on, it becomes more pronounced, no matter how little you eat or how much you monitor other things like liquid and salt. Someone on this site said their doctor described it as a condition in which your lymphatic system doesn't drain like it used to because of the disruption, so fluid can build up. It can take a year to get back to normal there.

As for sex, I'm just getting ready for that this weekend. The physical part hasn't been the holdup--I just don't want to be exhausted for the first time!

Hope this helps. While surgery isn't easy, living with problems is not easy either. I wish I didn't have to have surgery, but the fibroids had affected my health to the point that it was affecting my life. If your health is having a detrimental effect on your life, and you can do something about it, the LSH is a pretty easy solution in the scheme of things.

BTW, my incisions are very small--just one inch long, one the far sides of my abdomen.
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  #4  
Unread 10-28-2005, 01:06 PM
Laparoscopic supracervical hysterectomy

Thank you so much for sharing your experience with me. It sure sounds like fatigue is more of an issue than pain.

I also was not aware of swelly belly. One reason I was kind of glad to lose my uterus is that it is the size of a12-14 weeks pregnancy and I had hoped to get a flat tummy again. (the least of my worries of course)
I hope my tummy does get smaller in time.

How much of an issue was the gas in the belly? Did you get shoulder pain? Was it uncomfortable?

Thanks again so very much!
Lisa
  #5  
Unread 10-28-2005, 01:12 PM
re: lsh & gas

I didn't have any gas. I stayed away from carbonated beverages for at least 2 weeks, and they gave me two anti-gas pills in the hospital shortly after I was in my room.

I had no shoulder pain, never heard of that.
  #6  
Unread 10-28-2005, 01:15 PM
Laparoscopic supracervical hysterectomy

I had an LSH in May. I was released from the hospital the next morning and went back to work 3 weeks later. It took about 8 weeks to feel much better again- now I'm very athletic and feeling very good; not a drop of blood since, which is such a relief after losing a great deal of blood before the surgery.

LSH may be a more viable option to many women now that Merck has developed a vaccine for high risk strains of HPV, a vaccine which causes over 90% of cervical cancer- the two high risk strains that the vaccine protects against cause around 70% of cervical cancer.

Thus the risk of getting cervical cancer in your 40's is very small now, and will be very, very small once the vaccine is released. So now it makes sense to use hysterectomy procedures that preserve the cervix, and not routinely remove it as many doctors used to do not too long ago.

When I first started posting here in June, there were not very many SAH or LSH procedures, now there are many, so it seems like more doctors are becoming aware that automatically removing the cervix is not appropriate anymore since the risk of cervical cancer among these women is very small.

LSH has very small scars- two on each hipbone around an inch long, and one at the hairline. The studies I've read indicate that most women go home from the hospital within 24 hours of the surgery.

-Torrie
  #7  
Unread 10-28-2005, 01:15 PM
Laparoscopic supracervical hysterectomy

So would you say the pain is insignificant?

I do not dig pain so am really curious.

How would you describe it?

Thanks so much!!!

Lisa
  #8  
Unread 10-28-2005, 01:23 PM
Laparoscopic supracervical hysterectomy

Lisa,

No, for me there not much pain at all- I didn't take *any* pain medication at all! I actually drove the next day, and then was driving regularly about 4 days after the surgery- it was difficult to lift anything for about 3 weeks, but really, this was not a bad procedure at all.


I don't think it is possible to laser a large fibroid like you were talking about- the only other alternative would be cutting open the uterus, taking out the fibroid, and then sewing it back up, but at 47, you don't have the need for a uterus that someone who was young enough to have a child would be, and the process of sewing up a uterus is actually a more extensive procedure than an LSH is.

-Torrie
  #9  
Unread 10-28-2005, 01:41 PM
Laparoscopic supracervical hysterectomy

Torrie I am so grateful to hear that it isn't painful. I had foot surgery once and the doctor played down the pain I was facing and it was a bad experience being so unprepared. (It hurt terrible and for weeks!)

I am not sure the fibroid that is bleeding is large or not. My uterus is large but there are lots of fibroids on it- most of which are causing no trouble at all.

There is only one on the lining of my uterus and that was is causing heavy bleeding during my period.

So I am really trying to see if lasering that one out and following up with a Novasure Ablation is an option befoe I do this.

My doctor isn't in until Wed so I will have to wait a long time to ask him.

This group is such a blessing!

Thanks again!
Lisa
  #10  
Unread 10-28-2005, 02:14 PM
Any Chance of Weight Gain with LSH?

Another fear I have had with hysterectomy is weight gain.

Is it possible to have weight gain with the LSH type of hysterectomy?

Lisa
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