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DvH on small people DvH on small people

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Unread 04-13-2012, 07:04 AM
DvH on small people

I think I have read too much, but someone posted that their Complications were due to her being a small woman. Anyone know if there really is an issue for this surgery to be done on small woman? I don't want to wake up to find they had to convert to a TAH due to my small frame?
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Unread 04-13-2012, 07:14 AM
Re: DvH on small people

I've read a lot about DvH and I have yet to see anything regarding complications with smaller people. That's a really good question to ask your doctor during your pre-op visit, along with any other concerns you might have. I understand the worry though. I had a bad reaction to zofran during my Novasure procedure so that's my #1 concern. Good luck!!
Unread 04-13-2012, 06:29 PM
Re: DvH on small people

I consider myself a small person. I am small-boned and normal weight. My Davinci was just fine.

I think there can be complications no matter your size and the reasons for the hysterectomy. I also had 2 previous c-sections and appendectomy surgery with scarring that interfered a bit.

My surgery lasted 6 hours. I had extreme swelling of the body, but my doctor said there is a range of swelling and it is different for each person.

My uterus needed to come out in one piece (cancer) and they were able to take it vaginally, but they determined that it was small - and still ended up tearing the vagina and needing stitches.

I would encourage you not to look for complications. Each surgery is a little different and recoveries are all different.

Your doctor will progress the way he feels is best.

My worry before surgery was the vaginal cuff and my innards falling out. I talked to my doctor and he agreed to take deep stitches close together to make sure the stitches ended up in live tissue for me.

Best of luck with your healing journey.
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Unread 04-13-2012, 06:43 PM
Re: DvH on small people

I read that same post about the "small person" DaVinci complication. I have never read anything like that before, and have read a lot of DaVinci posts recently. I'd add this to your list of things your going to ask your doctor though.
Unread 04-13-2012, 08:07 PM
Re: DvH on small people

The doctor getting ready to do the DaVinci surgery would NOT tell you negative things about it. The surgeon doing an open surgery would say negative things about the DaVinci. All surgeries have potential risks for injury regardless of the choice of entry into the body. Like someone else posted, everyone is different and this is just MY experience, and that is what I posted. I definitely wanted to have the DaVinci surgery and only have small incisions and less down time. That is why I had that particular surgery, however I ended up having the open surgery and was down for almost 3 months instead of 6 weeks. I am just saying that this is what my surgeons told me. Your experience will be different and everyone's is. Didn't mean to scare anybody. Sorry.
Unread 04-13-2012, 09:21 PM
Re: DvH on small people

Tracerdog -

There are a number of factors that can determine if you are a candidate for a robotic surgery. One of them is size of the uterus. I haven't heard of an issue with smaller people but it is something that you should discuss with your Dr. if you are concerned.

When I met my gyn-onc he did a check to determine the size of my uterus to see if they could get it out vaginally due to my cancer diagnosis.

I asked my Dr. all sorts of questions and he answered them honestly. If he wouldn't have answered I would have looked for another surgeon. Thinks to ask:

How many surgeries have you done with the daVinci?
How many surgeons converted to an open surgery?
What were the reasons that you had to convert to an open surgery?

Based on things other sisters have said and your concerns I would add:

Have you had any issues using the daVinci system on a smaller person?
What do you do to ensure that bladder or ureter nicks are caught prior to finishing the surgery? (Some Drs flush dye through the bladder and look for leaks prior to closing)

Your Dr. should be willing to answer these questions.

Unread 04-13-2012, 09:52 PM
Re: DvH on small people

I googled da Vinci complications just now, and your not the only one that had a problem. I think there are risks with all kinds of surgeries and I am still glad I chose daVinci.
Unread 04-13-2012, 10:37 PM
Re: DvH on small people


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