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Partial Abdominal Hysterectomy - Obese? Partial Abdominal Hysterectomy - Obese?

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Unread 07-14-2009, 02:07 PM
Partial Abdominal Hysterectomy - Obese?

I have a question, and I'm hoping someone can help.

I am scheduled to have a partial abdominal hysterectomy on 8/20. We came to this decision, because I have abnormal uterine cells that cause me to have heavy and irregular periods. We attempted to treat with Provera, but this made my period unbearably heavy (changing super pad and super tampon every 1-1/2 to 2 hours...on a road trip). So, I've decided to go ahead with the hysterectomy. She doesn't want to take my ovaries, because I'm too young, and this will push me into early menopause at 33.

My question is this. I am morbidly obese at 370 pounds and 5'6". My OB cannot perform the surgery laparascopically (sp?) b/c of obvious reasons, and she would prefer not to do it vaginally, since I've never had a baby. I'm nervous as to performing everyday tasks with this 4-6" incision near my pubic bone. Will I be able to wipe when I go to the bathroom? Will I be able to push when I have a bowel movement? All of this is worrying me.

Thanks for any input.

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Unread 07-14-2009, 02:17 PM
Re: Partial Abdominal Hysterectomy - Obese?


I am considered Obese as well and I just had a TAH on June 22, so I am 3 weeks post ob. I won't lie that it hurts, my incision is under a roll of fat (i have had children, including a set of twins via c-section) they cut me in the same place as the c-section. I at first had a real hard time wiping, but it gets easier. I find that the hardest thing for me was trying to keep my incision dry since my stomach lays on the incision. I actually went to the doctor today becuase I was concerned, and I actually had a small infection, and what she did now is put a maxi pad in between my incision and stomach so far so good.

You will do fine, as with any surgery its hard at first but it will get easier. I hope all goes well.
Unread 07-14-2009, 02:19 PM
Re: Partial Abdominal Hysterectomy - Obese?

I also had surgery because of fibroids and am overweight (over 200 at surgery). I had the horizontal incision at the hairline and didn't have any problems. I understand your questions because I had a few problems after my gallbladder surgery. I did the best I could. It was better after a few days.
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Unread 07-14-2009, 02:21 PM
Re: Partial Abdominal Hysterectomy - Obese?

Thanks! I like the maxi pad idea.
Unread 07-14-2009, 02:27 PM
Re: Partial Abdominal Hysterectomy - Obese?

I am a large woman too. I had a TAH-BSO two weeks ago because of uterine cancer. In order to check out all of my abdominal cavity for tumors, my doctor did a vertical incision - navel to pubic line. I have had no problems with it healing partially because it doesn't lie under a fat roll. It's right over the top of one!

I need help for the first couple of days out of the hospital reaching to wipe. Thank God my husband was here to do that! Also, because my tummy jiggles more than a thin woman's the staples would pull a bit when it did.

On the plus side, large women often have great abdominal muscles under the fat. It takes some strength to move all this around! LOL I think you might be surprised how well you do in recovery. I was!
Unread 07-14-2009, 02:44 PM
Re: Partial Abdominal Hysterectomy - Obese?

Thanks Good advice!
Unread 07-14-2009, 03:20 PM
Re: Partial Abdominal Hysterectomy - Obese?

Hi Charlene !

I am obese too. I had a thread a while back about "The elephant in the closetbesity " because I was really concerned about my fat self. Guess what ? I got so many beautiful notes from fellow H.S. that I will cherish forever.

I think that in my case , I am going to ask for a vertical incision. I just found out yesterday that I will be having a TAH , and I already have a big zipper from a c-section , so it seems like a good plan to me. After having read the replies from people who had the supra pubic area , I think that the vertical will work better. If I get a "no" answer , there will still be a use for all my old pads !

Keep writing how things are going , OK? As a fellow Big Beautiful Woman , I have many similar questions and feelings. I have a strong shoulder if you want to vent !

Unread 07-14-2009, 03:22 PM
Re: Partial Abdominal Hysterectomy - Obese?

Thanks, Holly
Unread 07-14-2009, 10:48 PM
Re: Partial Abdominal Hysterectomy - Obese?

I am obese as well (250 lbs) and have never had kids (in adoption process right now). Anyway, I am scheduled for a TVH on July 20th. I wonder how the final decision for the method of removing the uterus is determined. I am worried I will wake up with an unexpected abdoninal incision.
Unread 07-15-2009, 01:03 AM
Re: Partial Abdominal Hysterectomy - Obese?

Tabby-When you have surgery you sign something stating that if problems arise dr's will perform a abdominal incision. I had to c-sections and it wasn't too bad.

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