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Hysterectomy

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Depending on a patient’s age and family planning goals, the OB-GYNs at East Pasco Women’s Care will generally seek to exhaust all other options before recommending that a woman undergo a hysterectomy. Since this is a major procedure that involves a permanent loss of fertility, it is certainly something each patient should discuss at length with her spouse as well as with her doctor.

Fortunately, when a hysterectomy is determined to be the right course of action, more options exist today than the traditional, “open” abdominal surgery that entailed a major incision, significant hospital stay, long recovery period and potentially substantial scarring. Our physicians can perform both full and partial hysterectomies using advanced, minimally-invasive surgical techniques including:

TVH — Total vaginal hysterectomy in which the uterus is removed vaginally, leaving no noticeable scar.

Laparoscopy — Where the physician operates through three or four small abdominal incisions using a special scope to view the interior of abdominal cavity.

LAVH (Laparoscopic Assisted Vaginal Hysterectomy) — This is a vaginal hysterectomy that is partially accomplished through a laparoscope.

LTH (Laparoscopic Total Hysterectomy) — This is removal of both the uterus and cervix where the entirety of the procedure is performed through the laparoscope. 

LSH (Laparoscopic Subtotal Hysterectomy) — Similar to laparoscopic total hysterectomy in that the procedure is done completely through the laparoscope but with the cervix left intact. It typically requires the shortest recovery time, and has fewer complications than other surgeries.

SILS (Single Incision Laparoscopic Surgery) — Rather than three or four separate incisions for two or three separate laparoscopic instruments plus a laparoscopic camera, the camera with its scope and all the instruments are inserted through a single incision at the umbilicus.  This one incision is larger than the usual laparoscopic incisions, but may cause less abdominal scarring than the alternative. 

Laparotomy — A procedure accomplished via traditional abdominal incision. Its drawbacks include a longer hospital stay and extended (six to eight week) recovery period.

To learn more about the hysterectomy options available at East Pasco Women’s Care, contact our practice at 813.782.8761 or via our online appointment request form.