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Vertical incision or bikini cut? Vertical incision or bikini cut?

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Unread 02-18-2002, 05:05 PM
Vertical incision or bikini cut?

My surgery (SAH) is in less than 2 weeks for huge fibroids. I have been trying to avoid surgery all together for 8 yrs, and was hoping to get something mininally invasive, but no such luck. My old doctor told me my uterus was 20 week size, and I would have to have a big vertical cut up to my navel (I'm very short waisted). I changed doctors to a younger one, that I felt was more flexible and up on things. He said that I was really only about 15 weeks, and surgery wouldn't be that complicated, and I could have a supracervical hyst keeping my ovaries (if they look OK, they've been obscured by fibroids) and cervix. He also said that it would probably be easier for him to do it with a vertical incision, but could do a bikini line, "if I insisted". My question is: Should I insist?
From what little I have heard/read about this, including the poll on this site, the horizontal would lead to less pain, faster healing and less complications.

My last ultrasound said that my uterus is 11x16x15 cm, with "multiple leiomyas too numerous to count and coalescent".
I'm also having a laparoscopic gall bladder removal done at the same time.

Does anyone have info or experience with this?
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Unread 02-18-2002, 05:15 PM
Hi Catlady

I don't know how to compare the two surgeries. I had a biniki cut and had no problems at all. But some ladies even have problems with the biniki cut. you will have to read and hopefully see which you think you prefer. I would let my DR have some input. Maybe he can give you some pros and cons of the two surgeries from his point of view. You are the only one that can and should make this decision. God Bless and hope I have helped some. I had my gallbladder taken out years ago when they only did incisions (long ones). I am sure others will be along and help you out more.
Unread 02-18-2002, 06:03 PM
Vertical incision or bikini cut?

Dear Catlady,
I feel for you. I had a bikini cut, but my doc nearly changed his mind during my pre-op visit because he started talking about a vertical incision. I reminded him that he told me he could do a horizontal incision at my previous appointment with DH to discuss the surgery plan. Sooooo, I have no experience with a vertical incision but I knew I didn't want one. Can't really explain why, other than I believed recovery would be harder and the scar would be more noticeable. My doc agreed to the bikini cut (about 7 1/2 inches in my case) but told me he would need to "cut" my muscles underneath in order to get a large enough opening to remove all the endo. Normally they spread your underlying muscles instead of cutting them. The first couple of weeks were tough ... some pretty good incision and muscle pain going on in my case. But it healed beautifully and I'm doing great. I've seen posts from other ladies here who had vertical incisions and they have done just great too. I think you need to have a good heart to heart talk with your doc ... ultimately you need to feel as comfortable as you can with what he plans. You're putting your trust in your doc ... ask him to help you understand why a vertical incision is truly necessary. Best of luck ... please let us know what you and your doc decide. I'm sending big hugs your way!


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