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Doctor’s Tip

One helpful tip a doctor might tell a patient about laparoscopic hysterectomy is to follow all pre-operative instructions carefully, including fasting before the procedure and stopping certain medications as advised. This can help reduce the risk of complications during surgery and promote a smoother recovery. Additionally, it is important to discuss any concerns or questions with your healthcare provider before the procedure to ensure you are fully informed and prepared.

Suitable For

Laparoscopic hysterectomy is typically recommended for patients who require removal of the uterus and possibly other reproductive organs due to conditions such as uterine fibroids, endometriosis, abnormal uterine bleeding, pelvic organ prolapse, or certain types of gynecologic cancers. This minimally invasive surgical approach is often preferred for patients who are seeking a quicker recovery time, less pain, and smaller incisions compared to traditional open surgery. It is important for patients to consult with their healthcare provider to determine if laparoscopic hysterectomy is the most appropriate treatment option for their specific condition.

Timeline

Before Laparoscopic Hysterectomy:

  1. Initial consultation with a gynecologist to discuss symptoms and determine the need for surgery.
  2. Pre-operative testing and evaluations, including blood work, imaging studies, and possibly a pelvic exam.
  3. Discussion of the procedure, risks, benefits, and recovery process with the surgeon.
  4. Pre-operative instructions, such as fasting before surgery and stopping certain medications.
  5. Admission to the hospital or surgical center on the day of the procedure.

After Laparoscopic Hysterectomy:

  1. Recovery in the hospital or surgical center for a few hours to monitor for any complications.
  2. Pain management and instructions on how to care for the incision sites.
  3. Gradual resumption of normal activities, with restrictions on heavy lifting and strenuous exercise.
  4. Follow-up appointments with the surgeon to monitor healing and address any concerns.
  5. Return to work and regular activities within a few weeks, depending on individual recovery.
  6. Long-term follow-up to monitor for any complications or changes in symptoms.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with a laparoscopic hysterectomy?
  2. How long does the procedure typically take and what is the expected recovery time?
  3. Will I need to stay in the hospital overnight or is this a same-day procedure?
  4. Are there any alternative treatment options to consider before proceeding with a hysterectomy?
  5. What type of anesthesia will be used during the surgery?
  6. How many laparoscopic hysterectomies have you performed and what is your success rate?
  7. Will I experience any pain or discomfort after the surgery and how will it be managed?
  8. What should I expect in terms of scarring and recovery of my abdominal muscles post-surgery?
  9. Are there any long-term effects or complications I should be aware of after having a laparoscopic hysterectomy?
  10. When can I resume normal activities, including exercise and sexual intercourse, after the surgery?

Reference

Authors: Lee CY, Tseng CJ, Chang CH, Lee MC, Ou YC, Yang SF. Journal: Medicine (Baltimore). 2019 Feb;98(8):e14616. doi: 10.1097/MD.0000000000014616. PMID: 30813190