Improved Vaginal Hysterectomy-Procedure

Vaginal Hystectomy performed by Dr. Robinson.

Laparoscopic supracervical hysterectomy

http://www.parkermd.com and http://www.fibroidsecondopinion.com

Posted By William H. Parker, MD

Laparoscopic supracervical hysterectomy allows the uterus to be detached from inside the body using laparoscopic instruments while the doctor is viewing the uterus, tubes, and ovaries on a flat screen monitor using a camera attached to a telescope. This procedure differs from standard hysterectomies in that the cervix is retained in the womans body, while the main portion of the uterus is detached and removed through small (one inch) incisions in the lower abdomen. One of the instruments making this surgery feasible is called an electronic morcellator, which cuts the uterus into small pieces so that the tissue can be removed through the small incisions.

My Belly Button Hysterectomy

When faced with the decision to have a hysterectomy, Chris was offered traditional abdominal procedures. With some research, she discovered a new method for surgery that leaves no scars and requires minimal recovery time.

Abdominal Sacral Uteropexy

Abdominal Sacral Uteropexy an alternative approach to Uterine Prolapse. Indications for surgical correction of uterine Prolapse with uterine preservation include failure of conservative treatment in a nulliparous woman and when a patient declines hysterectomy.
http://clevelandclinic.org

Hysterectomy

Hysterectomy Alternatives to the Traditional Total Abdominal Hysterectomy with Bilateral Salpingoophorectomy, presented by Dr. Lyndon Taylor.

TOTAL HYSTERECTOMY PART TWO

DR KARDY PERFORMS PROCEDURE

Hysterectomy recovery abdominal core fit ball exercises by Pelvic Exercises.com.au

Expert physiotherapist designed and presented core control exercises from http://pelvicexercises.com.au Ideal for women recovering from abominal hysterectomy or vaginal hysterectomy and also suited to women recovering from prolapse surgery. These safe and gentle supported exercises are designed to improve core abdominal muscle control, posture and spinal stability. Learn how to correctly exercise your deep abdominal muscles and promote your return to work and general activity.

daVinci Hysterectomy at Oaklawn Hospital

Hysterectomy for Benign Conditions.

If your doctor recommends hysterectomy, you may be a candidate for da Vinci Hysterectomy, one of the most effective, least invasive treatment options for a range of uterine conditions. da Vinci Hysterectomy is performed using the da Vinci™ Surgical System, which enables surgeons to perform with unmatched precision and control -- using only a few small incisions.


For most patients, da Vinci Hysterectomy can offer numerous potential benefits over traditional approaches to vaginal, laparoscopic or open abdominal hysterectomy, particularly when performing more challenging procedures like radical hysterectomy for gynecologic cancer. Potential benefits include:


Significantly less pain
Less blood loss
Fewer complications
Less scarring
A shorter hospital stay
A faster return to normal daily activities

Moreover, da Vinci provides the surgeon with a superior surgical tool for dissection and removal of lymph nodes during cancer operations, as compared to traditional open or minimally invasive approaches.1 da Vinci Hysterectomy also allows your surgeon better visualization of anatomy, which is especially critical when working around delicate and confined structures like the bladder. This means that surgeons have a distinct advantage when performing a complex, radical hysterectomy involving adhesions from prior pelvic surgery or non-localized cancer, or an abdominal hysterectomy. 2

As with any surgery, these benefits cannot be guaranteed, as surgery is both patient- and procedure-specific. While radical hysterectomy or abdominal hysterectomy performed using the da Vinci Surgical System are considered safe and effective, these procedures may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.

If you'd like to speak with someone at Oaklawn Hospital directly at anytime about the da vinci Robotic Surgical System, call 1-269-789-8134.

Malpractice Medical Hysterectomy Removal of the Uterus Surgery 1

http://www.PreOp.com
Medical Malpractice and Patient Education Company
Patient ED @ 617-379-1582 INFO
On the day of your operation,
you will be asked to put on a surgical gown.
You may receive a sedative by mouth and
an intravenous line may be put in.
You will then be transferred to the operating table.
In the operating room, a nurse will begin preparation by clipping or shaving the abdomen.
The anesthesiologist will begin to administer anesthesia - most probably general anesthesia. Patient Education
The surgeon will then apply an antiseptic solution to the skin...
place a sterile drape around the operative site...
After allowing a few minutes for the anesthetic to take effect...


Patient Education Company

Medical Malpractice and Patient Education Company

Abdominal Hysterectomy.divx

Laparoscopic Hysterectomy | Step 6 | Prof Zion Ben Rafael

Adhesion between the uterine anterior wall and the abdominal wall which are due to previous Caesarean Section are separated in preparation for total Laparoscopic hysterectomy. - Prof Zion Ben Rafael -

Live webcast: Robotic-Assisted Hysterectomy

More than half a million times annually in the US, cancer and other serious conditions warrant hysterectomy-- the removal of a woman's uterus.
Usually the procedure is performed via an abdominal incision that requires a 3- to 5-day hospital stay and a 6- to 8-week recovery period. Now, in a handful of hospitals around the country, new robotic technology allows physicians to perform this procedure through small incisions that require a recovery time of only one night in the hospital and a significantly shorter recovery period at home.

Watch as Hartford Hospital surgeon Dr. Amy Brown performs this revolutionary new procedure live on www.OR-Live.com

Vaginal Hysterectomy

Hysterectomy is the surigical removal of the uterus. The vaginal approach offers many benefits.

Hysterectomy Removal of the Uterus PreOp® Patient Education Feature

http://www.PreOp.com -or- http://bit.ly/PreOpFacebook -or- http://bit.ly/PreOpTwitter - Patient Education -
Patient Education Company
Your doctor has recommended that you have a hysterectomy. But what does that actually mean?

Hysterectomy is the removal of the uterus - the organ that holds and protects the fetus during pregnancy.

Hysterectomy often also involves the removal of other parts of the reproductive system, including the ovaries - where eggs are produced - the fallopian tubes which carry the eggs to the uterus and the cervix - or neck of the uterus.

There are many different reasons why a doctor may recommend this kind of surgery.

In many cases, disease or the growth of abnormal tissue will lead a doctor to recommend the removal of the uterus.

In some cases, unusually heavy menstrual flow and the accompanying discomfort may make hysterectomy an important treatment option for patient and physician to consider.

But no matter what the reason behind it, you should be aware that the removal of the uterus and other reproductive organs is a serious step and it can mean significant changes in your life.

After having a hysterectomy, you will not be able to have children and if your ovaries are removed as part of the procedure, you may even need to take medication to replace hormones that your body once produced on its own.

Patient Education Company

Your doctor will decide whether to make a vertical...
or horizontal incision.
An incision is made cutting through the skin and muscle of the abdomen.
Next, the surgeon will inspect the general condition of the abdominal organs.
Once the ovaries are exposed the uterus can then be separated from the bladder.
Next, the fallopian tubes are tied off and cut.
All arteries and veins connected to the uterus are tied off and cut as well.
Now the uterus can be pulled upward. This stretches the vagina
allowing the surgeon to cut the uterus free at the cervix.
The surgeon closes the top of the vagina with stitches,
and provides added support by attaching the ligaments that once held the uterus in place.
The incision is then closed...
and a drainage tube may be left inserted at the site.
Finally, a sterile bandage is applied.

Patient Education Company
As a normal effect of hysterectomy, you will no longer menstruate and will not be able to have children. If your ovaries were removed you may be prescribed hormone replacement drugs.

Fortunately, Hysterectomy surgery only rarely leads to complications. One potential complication is a persistent residual neuralgia - or pain - around the scar.

It can be either localized or general. It may develop soon after surgery - or even weeks or months later. Usually it will decrease in intensity with time. But in very rare situations, it can become permanent.

A more serious complication comes from accidental damage to the bladder or urinary tract during surgery.
Patient Education
Once you return home, you will be responsible to keeping the dressing intact and clean.

As with all surgery, you should be alert for signs of infection near the incision - increased swelling, redness, bleeding or other discharge. Your doctor may advise you to be on the alert for other symptoms as well. If you experience any unusual symptoms, report them to your doctor right away.


Patient Education Company

Recovering from hysterectomy - exercise after hysterectomy from Pelvic Exercises.com.au

Expert physiotherapist instruction to promote hysterectomy recovery from http://www.pelvicexercises.com.au. Practical demonstration and step-by-step instructions for deep breathing, circulation exercises and exercises to help you move in bed to minimise potential side effects of a hysterectomy. Exercise instruction applies to women recovering from vaginal or abdominal hysterectomy.

PreOp® Patient Education Hysterectomy Removal of Uterus, Ovaries and Fallopian Tubes Surgery

http://bit.ly/PreOpFacebook or http://bit.ly/PreOpTwitter - Patient Education - http://www.PreOp.com
Patient Education Company
Your doctor has recommended that you have a hysterectomy with the removal of the ovaries and fallopian tubes. But what does that actually mean?

Hysterectomy is the removal of the uterus - the organ that holds and protects the fetus during pregnancy.

Hysterectomy often also involves the removal of other parts of the reproductive system, including the ovaries - where eggs are produced - the fallopian tubes which carry the eggs to the uterus and the cervix - or neck of the uterus.

There are many different reasons why a doctor may recommend this kind of surgery.
Patient Education
In many cases, disease or the growth of abnormal tissue will lead a doctor to recommend the removal of the uterus, the ovaries and fallopian tubes.
In some cases, unusually heavy menstrual flow and the accompanying discomfort may make hysterectomy an important treatment option for patient and physician to consider.

But no matter what the reason behind it, you should be aware that the removal of the uterus and other reproductive organs is a serious step and it can mean significant changes in your life.
Patient Education
After having a hysterectomy, you will not be able to have children and if because your ovaries are removed as part of the procedure, you may even need to take medication to replace hormones that your body once produced on its own.

So make sure that you ask your doctor to carefully explain the reasons behind this recommendation.

Patient Education Company

Abdominal incision

Abdominal incision

PreOp® Patient Education Hysterectomy Removal of the Uterus Surgery* 2

http://www.PreOp.com
Patient Education Company
Your doctor will decide whether to make a vertical...
or horizontal incision.
An incision is made cutting through the skin and muscle of the abdomen.
Next, the surgeon will inspect the general condition of the abdominal organs.
Once the ovaries are exposed the uterus can then be separated from the bladder.
Next, the fallopian tubes are tied off and cut.
All arteries and veins connected to the uterus are tied off and cut as well.
Now the uterus can be pulled upward. This stretches the vagina
allowing the surgeon to cut the uterus free at the cervix.
The surgeon closes the top of the vagina with stitches,
and provides added support by attaching the ligaments that once held the uterus in place.
The incision is then closed...
and a drainage tube may be left inserted at the site.
Finally, a sterile bandage is applied.

Patient Education Company

Patient Education Company

Malpractice Medical Hysterectomy Removal of the Uterus 3

http://www.PreOp.com
Medical Malpractice and Patient Education Company
Patient ED @ 617-379-1582 INFO
Your doctor will decide whether to make a vertical...
or horizontal incision.
An incision is made cutting through the skin and muscle of the abdomen.
Next, the surgeon will inspect the general condition of the abdominal organs.
Once the ovaries are exposed the uterus can then be separated from the bladder.
Next, the fallopian tubes are tied off and cut. Malpractice Medical
All arteries and veins connected to the uterus are tied off and cut as well.
Now the uterus can be pulled upward. This stretches the vagina
allowing the surgeon to cut the uterus free at the cervix. Malpractice Medical
The surgeon closes the top of the vagina with stitches,
and provides added support by attaching the ligaments that once held the uterus in place.
The incision is then closed...
and a drainage tube may be left inserted at the site.
Finally, a sterile bandage is applied.

Patient Education Company

Medical Malpractice and Patient Education Company

Going Through a Hysterectomy

Living through a Hysterectomy

PreOp® Patient Education: Hysterectomy Removal Uterus 1

http://bit.ly/PreOpFacebook or http://bit.ly/PreOpFan
http://bit.ly/PreOpTwitter or http://bit.ly/PreOpFollow
http://www.PreOp.com - Patient Education
Patient ED @ 617-379-1582 INFO
On the day of your operation,
you will be asked to put on a surgical gown.
You may receive a sedative by mouth and
an intravenous line may be put in.
You will then be transferred to the operating table.
In the operating room, a nurse will begin preparation by clipping or shaving the abdomen.
The anesthesiologist will begin to administer anesthesia - most probably general anesthesia. Patient Education
The surgeon will then apply an antiseptic solution to the skin...
place a sterile drape around the operative site...
After allowing a few minutes for the anesthetic to take effect...
Your doctor will decide whether to make a vertical...
or horizontal incision.
An incision is made cutting through the skin and muscle of the abdomen.
Next, the surgeon will inspect the general condition of the abdominal organs.
Once the ovaries are exposed the uterus can then be separated from the bladder.
Next, the fallopian tubes are tied off and cut.
All arteries and veins connected to the uterus are tied off and cut as well.
Now the uterus can be pulled upward. This stretches the vagina
allowing the surgeon to cut the uterus free at the cervix.
The surgeon closes the top of the vagina with stitches,
and provides added support by attaching the ligaments that once held the uterus in place.
The incision is then closed...
and a drainage tube may be left inserted at the site.
Finally, a sterile bandage is applied.
Patient Education Company

Robotic Assisted Hysterectomy

Richard J. Cardosi, MD, FACOG, FACS, is a board-certified gynecologic oncologist with Watson Clinic in Lakeland, Florida. He was the first gynecologic oncologist in the area to utilize the da Vinci robotic system for hysterectomies and advanced gynecologic cancer surgeries.

The da Vinci robotic system is designed to perform hysterectomies and other advanced gynecologic surgical procedures in a minimally invasive manner, resulting in a faster healing time, less discomfort and scarring, and a quicker recovery to normal activity.

During the procedure, a robot with mechanical arms is positioned by the patients bedside. Surgical tools are attached to the arms and inserted through very small incisions in a woman's abdomen. The surgeon remains in complete control of the procedure every step of the way. Dr. Cardosi directs the robotic arms with specialized hand controls while sitting at a console from which he views the operating field in 3-D.

For more information or to schedule an appointment with Dr. Cardosi, please call (863) 680-7578 or visit us online at www.WatsonClinic.com/cardosi.

PreOp® Patient Edu Hysterectomy Removal of Uterus, Ovaries and Fallopian Tubes Surgery

http://bit.ly/PreOpFacebook or http://bit.ly/PreOpTwitter - Patient Education -
http://www.PreOp.com
Patient Education Company
Your doctor has recommended that you have a hysterectomy with the removal of the ovaries and fallopian tubes. But what does that actually mean?

Hysterectomy is the removal of the uterus - the organ that holds and protects the fetus during pregnancy.

Hysterectomy often also involves the removal of other parts of the reproductive system, including the ovaries - where eggs are produced - the fallopian tubes which carry the eggs to the uterus and the cervix - or neck of the uterus.

There are many different reasons why a doctor may recommend this kind of surgery.
Patient Education
In many cases, disease or the growth of abnormal tissue will lead a doctor to recommend the removal of the uterus, the ovaries and fallopian tubes.
In some cases, unusually heavy menstrual flow and the accompanying discomfort may make hysterectomy an important treatment option for patient and physician to consider.

But no matter what the reason behind it, you should be aware that the removal of the uterus and other reproductive organs is a serious step and it can mean significant changes in your life.
Patient Education
After having a hysterectomy, you will not be able to have children and if because your ovaries are removed as part of the procedure, you may even need to take medication to replace hormones that your body once produced on its own.

So make sure that you ask your doctor to carefully explain the reasons behind this recommendation.

Patient Education Company

Graphic Hysterectomy Surgery using the PEAK Surgical PlasmaBladeTM (no audio)

Visit our website: http://www.peaksurgical.com/applications/obgyn

PEAK Surgical has developed a family of disposable surgical cutting and coagulation tools ideal for hysterectomy surgery. PlasmaBlade offers the technology needed for a variety of procedures:

•The PlasmaBlade, which is designed to be used to cut through all types of soft tissue, including skin, fat and muscle.
•The PlasmaBlade Needle, which has a fine needlepoint tip, is specifically designed for use in ultra-precise surgical procedures and on very delicate skin.
•The PlasmaBlade EXT is designed for use in hysterectomy surgical procedures requiring an extended tip to reach deep into the body.

Benefits of the PlasmaBlade in hysterectomy surgery - the PlasmaBlade provides hysterectomy surgeons and gynecologic oncologists with a single tissue dissection device that offers several features and benefits:

•It quickly, easily and safely cuts through all types of tissue, including skin, fascia, fat and muscle.
•It can be used to cut skin without the "edge curling" associated with traditional electrosurgery.
•Studies with the PlasmaBlade demonstrated that it provides 65 percent greater skin surgical incision wound strength at six weeks than traditional electrosurgery.
•It provides the same positive wound healing profile of minimal scarring and inflammation as a scalpel, but with 60 percent less bleeding.
•Fascia incision healing strength at one week shows the PlasmaBlade to be significantly better than traditional electrosurgery, which is important as wound herniation occurs early during the healing process.
•It eliminates the need to switch between a scalpel and a traditional electrosurgery device during hysterectomy surgery, improving workflow efficiency and reducing the chance for sharps injuries or burns.
•It dissects in a wet or dry surgical field, which is especially useful with obese patients and where edema is present.
•Because it cuts tissue at a much lower temperature and delivers less heat, it is associated with minimal tissue charring and reduced surgical smoke, which is a concern to patients and OR staff given the potential health risks.
•For repeat Cesarean sections, the PlasmaBlade is associated with less bleeding from the skin surface when an old scar is removed, making it easier to close.
•Because the PlasmaBlade minimizes collateral thermal damage, it may reduce the incidence of unintentional tissue injury. This is important in procedures such as hysterectomy surgeries, in which the bowel, bladder and ureters are separated from the other abdominal and pelvic organs by very thin margins, and are common sites of unintentional surgical injury.
•Use of the PlasmaBlade may result in fewer adhesions because it causes less collateral tissue damage than traditional electrosurgery. Studies have demonstrated that use of the Peak PlasmaBlade results in 60 percent less scar tissue formation at six weeks than traditional electrosurgery.
•The PlasmaBlade may reduce the incidence of surgical site infections as it causes less deposition of eschar because of the cooler temperatures at which it operates, and also leaves behind less necrotic tissue. Thus it reduces two potential harbors for infectious microorganisms, and lessens the burden on the inflammatory system as the body attempts to clear the dead material.

Adrian Lower. Laparoscopic Subtotal Hysterectomy.

This is a video of a laparoscopic subtotal hysterectomy being performed by consultant gynaecologist Adrian Lower

Robotic Assisted Hysterectomy

Richard J. Cardosi, MD, FACOG, FACS, is a board-certified gynecologic oncologist with Watson Clinic in Lakeland, Florida. He was the first gynecologic oncologist in the area to utilize the da Vinci robotic system for hysterectomies and advanced gynecologic cancer surgeries.

The da Vinci robotic system is designed to perform hysterectomies and other advanced gynecologic surgical procedures in a minimally invasive manner, resulting in a faster healing time, less discomfort and scarring, and a quicker recovery to normal activity.

During the procedure, a robot with mechanical arms is positioned by the patients bedside. Surgical tools are attached to the arms and inserted through very small incisions in a woman's abdomen. The surgeon remains in complete control of the procedure every step of the way. Dr. Cardosi directs the robotic arms with specialized hand controls while sitting at a console from which he views the operating field in 3-D.

For more information or to schedule an appointment with Dr. Cardosi, please call (863) 680-7578 or visit us online at www.WatsonClinic.com/cardosi.

Colonoscopy Video Clip

Laparoscopic Hysterectomy | Step 1 | Prof Zion Ben Rafael

Laparoscopic hysterectomy (LH) is relatively new technique, which was introduced in the late1980th.
The main goal of LH is to transform abdominal hysterectomy into a Laparoscopic Assisted Vaginal Hysterectomy-LAVH or Total LH. This technique offers no advantage to cases that can a-priori be done vaginally.

Laparoscopy Hysterectomy: TLH LAVH Full Video (Lap Uterus

Dr.K. Ramesh Naidu MS FAIS ---- Visakhapatnam, Andhra Pradesh, India Vizag: ---- Web: www.lapsurgeonindia.com -- Mobile: +91-98491-27287 --www.lapindia.com Laparoscopy Hysterectomy: TLH LAVH Video (Lap Uterus Removal) keyhole laparoscopic surgery for uterus removal

Hysterectomy for Benign Disease #5

http://www.us.elsevierhealth.com/product.jsp?sid=&isbn=9781416062714&lid=&iid=
Hysterectomy for Benign Disease, by Mark D. Walters, MD and Matthew D. Barber, MD, MHS, is the ideal way to enhance your skills in this key area of gynecologic surgery. In this volume in the Female Pelvic Surgery Video Atlas Series, edited by Mickey Karram, MD, hours of video footage, together with detailed discussions and illustrations, clarify how to most effectively perform a variety of hysterectomy operations and manage complications. Case-based videos take you step by step through simple and complicated abdominal hysterectomy; simple and complicated vaginal hysterectomy; laparoscopic and robotic hysterectomy; vaginal oophorectomy; endometrial procedures that avoid hysterectomy; and more.

Hysterectomy - Women's Health Issues

Physician Q&A on Hysterectomy and Alternatives to the Traditional Total Abdominal Hysterectomy with Bilateral Salpingoophorectomy, with Dr. Lyndon Taylor, board-certified gynecologist in Oak Park, Illinois: www.ChicagoLAVH.com

Hysterectomy recovery abdominal core fit ball exercises by Pelvic Exercises.com.au

Expert physiotherapist designed and presented core control exercises from http://pelvicexercises.com.au Ideal for women recovering from abominal hysterectomy or vaginal hysterectomy and also suited to women recovering from prolapse surgery. These safe and gentle supported exercises are designed to improve core abdominal muscle control, posture and spinal stability. Learn how to correctly exercise your deep abdominal muscles and promote your return to work and general activity.

tlh total laparoscopic hysterectomy fibroid

tlh total laparoscopic hysterectomy fibroid

Histerectomía Abdominal Total: Anestesia- anesthesia in hysterectomy

Enviado por " CONSULTORIO MÉDICO JAVIER FLORES BUISSON " MÁNCORA- PERÚ...
URL: http://consultoriomedicofloresmancora.es.tl/ ...
Se trata de una histerectomía abdominal total realizada el día de ayer 8 de Septiembre del 2009, debido a miomatosis uterina y endometriosis.
Varios métodos anestésicos se aplican con resultados satisfactorios para esta cirugía. Actualmente la anestesia neuroaxial es la más frecuentemente empleada porque ofrece numerosas ventajas, entre las que se destacan: menor respuesta al estrés quirúrgico, menor trobogénesis y embolia pulmonar subsecuente, mejor motilidad intestinal, menor incidencia de náuseas y sedación posoperatoria, mejor control del dolor, evita la manipulación de las vías respiratorias y la disfunción pulmonar, sin requerir además, tiempo para la emergencia anestésica y se asocia a disminución de las pérdidas sanguíneas.
Estas técnicas regionales son bloqueos perfectamente aceptados, cada una tiene algunas desventajas cuando se les utilizan como técnica única; pero al combinarlas se puede reducir o aun eliminar los riesgos de estas desventajas.
Se realizó medicación preanestésica inmediata con midazolán a dosis de 0,03 mg/kg de peso por vía EV, se administró solución salina 0,9 % a razón de 10 mL/kg de peso. Se estableció monitorización mínima indispensable previa al proceder. En posición sentada se realizó punción epidural con aguja de Touhy G17 en el espacio intervertebral a nivel de T11-T12 con colocación de catéter; posteriormente punción subaracnoidea entre los espacios intervertebrales L3-L4 con trocar SPINOCAM G25 y se inyectó fentanyl 25 µg más bupivacaína (0,5 %) 10 mg, y se mantuvo a la paciente por un periodo de 10 min en posición de Scultetus a 5 º. En decúbito dorsal se administró por vía epidural bupivacaína (0,5 %) 50 mg y dosis subsecuentes según necesidades. Se registraron las variables presión arterial media (PAM) y frecuencia cardiaca después de la medicación preanestésica y cada 5 min durante el transoperatorio.
En este caso, se requirió de diacepam y midazolam endovenoso para complementar el bloqueo motor, de ahi es que se observa a la paciente en estado inconciente y con ayuda respiratoria manual.
Uno de los inconvenientes de la anestesia epidural aislada es su alta frecuencia de analgesia insuficiente, entre otros motivos por su bloqueo menos denso, con la anestesia subaracnoidea epidural combinada esta desventaja se supera. Por otra parte, el empleo de opioides como coadyuvantes, intensifica y prolonga el bloqueo sensitivo sin modificar el bloqueo motor;8 su uso se multiplica en forma logarítmica y es un procedimiento rutinario que influye en la optimización de la anestesia regional.7 se coincide con publicaciones que describen mejor calidad del bloqueo sensitivo al aplicar anestesia subaracnoidea epidural combinada a doble espacio.
La anestesia subaracnoidea epidural combinada a doble espacios resultó una técnica satisfactoria para la histerectomía abdominal, con excelente bloqueo sensitivo, alto grado de bloqueo motor y baja incidencia de complicaciones.

A peridural catheter was placed at the thoracic level 11-12 and subarachnoid puncture was performed between the lumbar spaces 3-4. Fentanyl 25 µg and intrathecal bupivacaine (0.5 %) 10 mg and 50 mg of epidural bupivacaine (0.5 %) were injected. The mean of the arterial pressure descended 8 mmHg and the heart rate 4 beats/min with statistical significance.

daVinci Hysterectomy at Oaklawn Hospital

Hysterectomy for Benign Conditions.

If your doctor recommends hysterectomy, you may be a candidate for da Vinci Hysterectomy, one of the most effective, least invasive treatment options for a range of uterine conditions. da Vinci Hysterectomy is performed using the da Vinci™ Surgical System, which enables surgeons to perform with unmatched precision and control -- using only a few small incisions.


For most patients, da Vinci Hysterectomy can offer numerous potential benefits over traditional approaches to vaginal, laparoscopic or open abdominal hysterectomy, particularly when performing more challenging procedures like radical hysterectomy for gynecologic cancer. Potential benefits include:


Significantly less pain
Less blood loss
Fewer complications
Less scarring
A shorter hospital stay
A faster return to normal daily activities

Moreover, da Vinci provides the surgeon with a superior surgical tool for dissection and removal of lymph nodes during cancer operations, as compared to traditional open or minimally invasive approaches.1 da Vinci Hysterectomy also allows your surgeon better visualization of anatomy, which is especially critical when working around delicate and confined structures like the bladder. This means that surgeons have a distinct advantage when performing a complex, radical hysterectomy involving adhesions from prior pelvic surgery or non-localized cancer, or an abdominal hysterectomy. 2

As with any surgery, these benefits cannot be guaranteed, as surgery is both patient- and procedure-specific. While radical hysterectomy or abdominal hysterectomy performed using the da Vinci Surgical System are considered safe and effective, these procedures may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.

If you'd like to speak with someone at Oaklawn Hospital directly at anytime about the da vinci Robotic Surgical System, call 1-269-789-8134.

Walking after abdominal hysterectomy

My son (autistic 16 yo) and I decide to get out of the house and go for a walk. The doctor has okay-ed it so don't worry!

Hysterectomy for Benign Disease #2

http://www.us.elsevierhealth.com/product.jsp?sid=&isbn=9781416062714&lid=&iid=
Hysterectomy for Benign Disease, by Mark D. Walters, MD and Matthew D. Barber, MD, MHS, is the ideal way to enhance your skills in this key area of gynecologic surgery. In this volume in the Female Pelvic Surgery Video Atlas Series, edited by Mickey Karram, MD, hours of video footage, together with detailed discussions and illustrations, clarify how to most effectively perform a variety of hysterectomy operations and manage complications. Case-based videos take you step by step through simple and complicated abdominal hysterectomy; simple and complicated vaginal hysterectomy; laparoscopic and robotic hysterectomy; vaginal oophorectomy; endometrial procedures that avoid hysterectomy; and more.

Laparoscopic supracervical hysterectomy

http://www.parkermd.com and http://www.fibroidsecondopinion.com

Posted By William H. Parker, MD

Laparoscopic supracervical hysterectomy allows the uterus to be detached from inside the body using laparoscopic instruments while the doctor is viewing the uterus, tubes, and ovaries on a flat screen monitor using a camera attached to a telescope. This procedure differs from standard hysterectomies in that the cervix is retained in the womans body, while the main portion of the uterus is detached and removed through small (one inch) incisions in the lower abdomen. One of the instruments making this surgery feasible is called an electronic morcellator, which cuts the uterus into small pieces so that the tissue can be removed through the small incisions.

Hysterectomy

Hysterectomy Alternatives to the Traditional Total Abdominal Hysterectomy with Bilateral Salpingoophorectomy, presented by Dr. Lyndon Taylor.

Hysterectomy for Benign Disease #1

http://www.us.elsevierhealth.com/product.jsp?sid=&isbn=9781416062714&lid=&iid=
Hysterectomy for Benign Disease, by Mark D. Walters, MD and Matthew D. Barber, MD, MHS, is the ideal way to enhance your skills in this key area of gynecologic surgery. In this volume in the Female Pelvic Surgery Video Atlas Series, edited by Mickey Karram, MD, hours of video footage, together with detailed discussions and illustrations, clarify how to most effectively perform a variety of hysterectomy operations and manage complications. Case-based videos take you step by step through simple and complicated abdominal hysterectomy; simple and complicated vaginal hysterectomy; laparoscopic and robotic hysterectomy; vaginal oophorectomy; endometrial procedures that avoid hysterectomy; and more.

How to Prepare for Major Abdominal Surgery

Because I Can.
In case you needed a reminder of who I really am.
[this was gorgeous in slo mo but i can't figger out how to upload it that way. So just imagine it in slow motion!]

Lying down abdominal exercises after a hysterectomy by Pelvic Exercises.com.au

Expert physiotherapy guidance for how to safely exercise and condition your deep abdominal core muscles after a hysterectomy from http://www.pelvicexercises.com.au Gentle lying down abdominal control exercises with step by step instruction is suited to women recovering from abdominal or vaginal hysterectomy. Deep abdominal muscle control exercises will improve your ability to move with minimal discomfort during hysterectomy recovery, and improve abdominal muscle tone and support of your surgical would.

Hysterectomy - Women's Health Issues

Physician Q&A on Hysterectomy and Alternatives to the Traditional Total Abdominal Hysterectomy with Bilateral Salpingoophorectomy, with Dr. Lyndon Taylor, board-certified gynecologist in Oak Park, Illinois: www.ChicagoLAVH.com

Abdominal Sacral Uteropexy

Abdominal Sacral Uteropexy an alternative approach to Uterine Prolapse. Indications for surgical correction of uterine Prolapse with uterine preservation include failure of conservative treatment in a nulliparous woman and when a patient declines hysterectomy.
http://clevelandclinic.org

Abdominal Hysterectomy

Dr. Lauren Hamiliton discusses suitable candidates for abdominal hysterectomies.

Pelvic Abscess and Hysterectomy

An infected cesarean section that concludes in a hysterectomy and a very torpid evolution

Laparoscopic Supracervical Hysterectomy Procedure

http://www.wss4m.com/vb

Laparoscopic supracervical hysterectomy

http://www.parkermd.com and http://www.fibroidsecondopinion.com

Posted By William H. Parker, MD

Laparoscopic supracervical hysterectomy allows the uterus to be detached from inside the body using laparoscopic instruments while the doctor is viewing the uterus, tubes, and ovaries on a flat screen monitor using a camera attached to a telescope. This procedure differs from standard hysterectomies in that the cervix is retained in the womans body, while the main portion of the uterus is detached and removed through small (one inch) incisions in the lower abdomen. One of the instruments making this surgery feasible is called an electronic morcellator, which cuts the uterus into small pieces so that the tissue can be removed through the small incisions.

Histerectomia Abdominal

Procedure: Abdominal hysterectomy

Surgeons: Julio C. Raymundo Morales, Gerardo A. Raymundo Angel.

Anesthesia: Dr. Perdomo
Nurse: Miss Sandra Castillo, Miss Rodriguez.



Abdominal Hysterectomy is a surgical procedure in which the uterus is removed through an incision in the lower abdomen. One or both ovaries and fallopian tubes may also be removed during the procedure

PreOp® Patient Education: Hysterectomy Removal Uterus 2

http://www.PreOp.com
Patient ED @ 617-379-1582 INFO
On the day of your operation,
you will be asked to put on a surgical gown.
You may receive a sedative by mouth and
an intravenous line may be put in.
You will then be transferred to the operating table.
In the operating room, a nurse will begin preparation by clipping or shaving the abdomen.
The anesthesiologist will begin to administer anesthesia - most probably general anesthesia. Patient Education
The surgeon will then apply an antiseptic solution to the skin...
place a sterile drape around the operative site...
After allowing a few minutes for the anesthetic to take effect...
Your doctor will decide whether to make a vertical...
or horizontal incision.
An incision is made cutting through the skin and muscle of the abdomen.
Next, the surgeon will inspect the general condition of the abdominal organs.
Once the ovaries are exposed the uterus can then be separated from the bladder.
Next, the fallopian tubes are tied off and cut.
All arteries and veins connected to the uterus are tied off and cut as well.
Now the uterus can be pulled upward. This stretches the vagina
allowing the surgeon to cut the uterus free at the cervix.
The surgeon closes the top of the vagina with stitches,
and provides added support by attaching the ligaments that once held the uterus in place.
The incision is then closed...
and a drainage tube may be left inserted at the site.
Finally, a sterile bandage is applied.
Patient Education Company

Total Laparoscopic hysterectomy استئصال الرحم

Amman-Jordan
Dr. Osama Badran ,M.D.,FACOC, a laparoscopic gynecologic surgeon performing a total laparoscopic hysterectomy with bilateral salpingo-oophorectomy. In this case the vagina was opened anteriorly and poseriorly early in the procedure after dissecting the bladder off. This aproach helps in elevating the uterus away from pelvic side walls (ureters) and in finding a predefined target point for the transecton of uper uterine pedicles. An omental biopsy was taken too ( seen at end when delivering uterus through vagina)
الدكتور اسامة بدران في عمان الاردن يجري عملية استئصال الرح والمبايض بالمنظار

Abdominal Hysterectomy.divx

Histerectomia Abdominal

Procedure: Abdominal hysterectomy

Surgeons: Julio C. Raymundo Morales, Gerardo A. Raymundo Angel.

Anesthesia: Dr. Perdomo
Nurse: Miss Sandra Castillo, Miss Rodriguez.



Abdominal Hysterectomy is a surgical procedure in which the uterus is removed through an incision in the lower abdomen. One or both ovaries and fallopian tubes may also be removed during the procedure

Podcast: Robotic-Assisted Hysterectomy for Endometrial...

Endometrial Cancer: Join physicians from the University of North Carolina Hospitals for a da Vinci® (robotic) Hysterectomy for endometrial cancer with staging using the new da Vinci® S Surgical System. Live 4:00PM EST (21:00 UTC). The minimally invasive procedure will be performed by Dr. John Boggess, Associate Professor of Obstetrics & Gynecology and Fellowship Program Director, Division of Gynecologic Oncology and UNC School of Medicine.

During this live webcast, Dr. Boggess will emphasize the para-aortic lymphadenectomy to surgically stage the disease. With the new da Vinci® S System, surgeons now have improved range of motion in the upper abdomen combined with improved access to reach the deep...

Hysterectomy, A Better Way (CBS News)

Hundreds of thousands of women get traditional hysterectomies each year, with a large surgical incision and lengthy recovery. But now, a new technique offers a better way. Dr. Jon LaPook reports. (CBSNews.com)

Abdominal Hysterectomy

Dr. Lauren Hamiliton discusses suitable candidates for abdominal hysterectomies.

Pelvic Abscess and Hysterectomy

An infected cesarean section that concludes in a hysterectomy and a very torpid evolution

Malpractice Medical Hysterectomy Removal of the Uterus Surgery 1

http://www.PreOp.com
Medical Malpractice and Patient Education Company
Patient ED @ 617-379-1582 INFO
On the day of your operation,
you will be asked to put on a surgical gown.
You may receive a sedative by mouth and
an intravenous line may be put in.
You will then be transferred to the operating table.
In the operating room, a nurse will begin preparation by clipping or shaving the abdomen.
The anesthesiologist will begin to administer anesthesia - most probably general anesthesia. Patient Education
The surgeon will then apply an antiseptic solution to the skin...
place a sterile drape around the operative site...
After allowing a few minutes for the anesthetic to take effect...


Patient Education Company

Medical Malpractice and Patient Education Company

Supracervical Abdominal Hysterectomy..bye bye uterus!

info on my upcoming surgery. I welcome questions and comments about the surgery...And I appreciate all prayers, as i approach the day... Thanks!!

Resources:

www.hystersisters.com
www.more.com
www.gynsecondopinion.com
www.healthcommunties.com
www.hysterectomyrx.com

Music by Kevin MacLeod ( Savannah Sketch)

Recovering from hysterectomy - how to get in and out of bed after a hysterectomy

Expert physiotherapist instruction for how to get in and out of bed after a hysterectomy by Michelle Kenway from http:/www.pelvicexercises.com.au Practical physical therapist demonstration and teaching to help you to reduce discomfort when moving and to minimise pressure on your surgical site. Knowing these two easy steps for how to move when recovering from abdominal hysterectomy or vaginal hysterectomy will help your overall hysterectomy recovery.

Abdominal Hysterectomy.divx

PreOp® Patient Edu Hysterectomy Removal of Uterus, Ovaries and Fallopian Tubes Surgery

http://bit.ly/PreOpFacebook or http://bit.ly/PreOpTwitter - Patient Education -
http://www.PreOp.com
Patient Education Company
Your doctor has recommended that you have a hysterectomy with the removal of the ovaries and fallopian tubes. But what does that actually mean?

Hysterectomy is the removal of the uterus - the organ that holds and protects the fetus during pregnancy.

Hysterectomy often also involves the removal of other parts of the reproductive system, including the ovaries - where eggs are produced - the fallopian tubes which carry the eggs to the uterus and the cervix - or neck of the uterus.

There are many different reasons why a doctor may recommend this kind of surgery.
Patient Education
In many cases, disease or the growth of abnormal tissue will lead a doctor to recommend the removal of the uterus, the ovaries and fallopian tubes.
In some cases, unusually heavy menstrual flow and the accompanying discomfort may make hysterectomy an important treatment option for patient and physician to consider.

But no matter what the reason behind it, you should be aware that the removal of the uterus and other reproductive organs is a serious step and it can mean significant changes in your life.
Patient Education
After having a hysterectomy, you will not be able to have children and if because your ovaries are removed as part of the procedure, you may even need to take medication to replace hormones that your body once produced on its own.

So make sure that you ask your doctor to carefully explain the reasons behind this recommendation.

Patient Education Company

Laparoscopic supracervical hysterectomy

http://www.parkermd.com and http://www.fibroidsecondopinion.com

Posted By William H. Parker, MD

Laparoscopic supracervical hysterectomy allows the uterus to be detached from inside the body using laparoscopic instruments while the doctor is viewing the uterus, tubes, and ovaries on a flat screen monitor using a camera attached to a telescope. This procedure differs from standard hysterectomies in that the cervix is retained in the womans body, while the main portion of the uterus is detached and removed through small (one inch) incisions in the lower abdomen. One of the instruments making this surgery feasible is called an electronic morcellator, which cuts the uterus into small pieces so that the tissue can be removed through the small incisions.

PreOp® Patient Education: Hysterectomy Removal Uterus 1

http://bit.ly/PreOpFacebook or http://bit.ly/PreOpFan
http://bit.ly/PreOpTwitter or http://bit.ly/PreOpFollow
http://www.PreOp.com - Patient Education
Patient ED @ 617-379-1582 INFO
On the day of your operation,
you will be asked to put on a surgical gown.
You may receive a sedative by mouth and
an intravenous line may be put in.
You will then be transferred to the operating table.
In the operating room, a nurse will begin preparation by clipping or shaving the abdomen.
The anesthesiologist will begin to administer anesthesia - most probably general anesthesia. Patient Education
The surgeon will then apply an antiseptic solution to the skin...
place a sterile drape around the operative site...
After allowing a few minutes for the anesthetic to take effect...
Your doctor will decide whether to make a vertical...
or horizontal incision.
An incision is made cutting through the skin and muscle of the abdomen.
Next, the surgeon will inspect the general condition of the abdominal organs.
Once the ovaries are exposed the uterus can then be separated from the bladder.
Next, the fallopian tubes are tied off and cut.
All arteries and veins connected to the uterus are tied off and cut as well.
Now the uterus can be pulled upward. This stretches the vagina
allowing the surgeon to cut the uterus free at the cervix.
The surgeon closes the top of the vagina with stitches,
and provides added support by attaching the ligaments that once held the uterus in place.
The incision is then closed...
and a drainage tube may be left inserted at the site.
Finally, a sterile bandage is applied.
Patient Education Company

Types of Hysterectomy (Hysterectomy Quick Tips #3)

www.HappyHysterectomy.com looks at the four main types of hysterectomy: abdominal, vaginal, LAVH and LSH.

Live webcast: Robotic-Assisted Hysterectomy

More than half a million times annually in the US, cancer and other serious conditions warrant hysterectomy-- the removal of a woman's uterus.
Usually the procedure is performed via an abdominal incision that requires a 3- to 5-day hospital stay and a 6- to 8-week recovery period. Now, in a handful of hospitals around the country, new robotic technology allows physicians to perform this procedure through small incisions that require a recovery time of only one night in the hospital and a significantly shorter recovery period at home.

Watch as Hartford Hospital surgeon Dr. Amy Brown performs this revolutionary new procedure live on www.OR-Live.com

Types of Hysterectomy (Hysterectomy Quick Tips #3)

www.HappyHysterectomy.com looks at the four main types of hysterectomy: abdominal, vaginal, LAVH and LSH.

Total Abdominal Hysterectomy and Bilateral Salpingoopherectomy

http://www.us.elsevierhealth.com/product.jsp?sid=&isbn=9781416062714&lid=&iid=
Hysterectomy for Benign Disease, by Mark D. Walters, MD and Matthew D. Barber, MD, MHS, is the ideal way to enhance your skills in this key area of gynecologic surgery. In this volume in the Female Pelvic Surgery Video Atlas Series, edited by Mickey Karram, MD, hours of video footage, together with detailed discussions and illustrations, clarify how to most effectively perform a variety of hysterectomy operations and manage complications. Case-based videos take you step by step through simple and complicated abdominal hysterectomy; simple and complicated vaginal hysterectomy; laparoscopic and robotic hysterectomy; vaginal oophorectomy; endometrial procedures that avoid hysterectomy; and more.

Total Abdominal Hysterectomy. Uterine fibroids

Total Abdominal Hysterectomy. Uterine fibroids
Экстирпация матки. Фибромиома
საშვილოსნოს ექსტირპაცია. ფიბრომიომა

Histerectomía Abdominal- Abdominal Hysterectomy

Enviado por " CONSULTORIO MÉDICO JAVIER FLORES BUISSON " MÁNCORA- PERÚ...
URL: http://consultoriomedicofloresmancora.es.tl/ ...
Histerectomía es la cirugía para extirpar el útero de una mujer y se puede hacer a través de una incisión (corte) ya sea en el abdomen o la vagina.El cirujano hace una incisión (corte) de 5 a 7 pulgadas en la parte inferior de su abdomen. El corte puede ir ya sea hacia arriba, hacia abajo o a través del abdomen, justo por encima del vello púbico (corte bikini).
Existen muchas razones para realizar una histerectomía, aunque puede haber maneras de tratar la afección que no requieran de esta cirugía mayor. La afección puede aliviarse con una cirugía menos invasiva. Hable con el médico acerca de las opciones de tratamiento.

Después de extirparles el útero, muchas mujeres notarán cambios en su cuerpo y en la manera de percibirse a sí mismas. Hable con el médico, con su familia y con sus amigos acerca de estos posibles cambios antes de someterse a la cirugía.

La histerectomía puede recomendarse para:

Tumores en el útero, como el miomas uterinos
Cáncer del útero, con mayor frecuencia cáncer endometrial
Cáncer de cuello uterino o una afección precancerosa del cuello uterino llamada displasia cervical
Cáncer ovárico
Endometriosis, cuando el dolor es severo y otros tratamientos no han ayudado.
Sangrado vaginal severo y prolongado (crónico) que no puede controlarse con medicamentos
Prolapso uterino. Un útero desprendido desciende hacia la vagina.
Adenomiosis. Esta afección hace que el tejido que reviste el útero prolifere dentro de las paredes del útero.
Dolor crónico de la pelvis
Complicaciones durante el parto, como el sangrado incontrolable.

A hysterectomy (from Greek ὑστέρα hystera "womb" and εκτομία ektomia "a cutting out of") is the surgical removal of the uterus, usually performed by a gynecologist. Hysterectomy may be total (removing the body, fundus, and cervix of the uterus; often called "complete") or partial (removal of the uterine body but leaving the cervical stump, also called "supracervical"). It is the most commonly performed gynecological surgical procedure. In 2003, over 600,000 hysterectomies were performed in the United States alone, of which over 90% were performed for benign conditions.Such rates being highest in the industrialized world has led to the major controversy that hysterectomies are being largely performed for unwarranted and unnecessary reasons.
Removal of the uterus renders the patient unable to bear children (as does removal of ovaries and fallopian tubes), and changes her hormonal levels considerably, so the surgery is normally recommended for only a few specific circumstances:
Certain types of reproductive system cancers (uterine, cervical, ovarian) or tumors
As a prophylactic treatment for those with either a strong family history of reproductive system cancers (especially breast cancer in conjunction with BRCA1 or BRCA2 mutation) or as part of their recovery from such cancers
Severe and intractable endometriosis (overgrowth of the uterine lining) and/or adenomyosis (a more severe form of endometriosis, where the uterine lining has grown into and sometimes through the uterine wall) after pharmaceutical and other non-surgical options have been exhausted
Postpartum to remove either a severe case of placenta praevia (a placenta that has either formed over or inside the birth canal) or placenta accreta (a placenta that has grown into and through the wall of the uterus to attach itself to other organs), as well as a last resort in case of excessive postpartum bleeding
For transmen, as part of their gender transition
For severe developmental disabilities
Although hysterectomy is frequently performed for fibroids (benign tumor-like growths inside the uterus itself made up of muscle and connective tissue), conservative options in treatment are available by doctors who are trained and skilled at alternatives. It is well documented in medical literature that myomectomy, surgical removal of fibroids with reconstruction of the uterus, has been performed for over a century.
The uterus is a hormone-responsive reproductive sex organ, and the ovaries produce the majority of estrogen and progesterone that is available in genetic females of reproductive age.
Some women's health education groups such as the Hysterectomy Educational Resources and Services (HERS) Foundation seek to inform the public about the many consequences and alternatives to hysterectomy, and the important functions that the female organs have all throughout a woman's life.

Total Abdominal Hysterectomy: Fibroid Uterus

http://www.us.elsevierhealth.com/product.jsp?sid=&isbn=9781416062714&lid=&iid=
Hysterectomy for Benign Disease, by Mark D. Walters, MD and Matthew D. Barber, MD, MHS, is the ideal way to enhance your skills in this key area of gynecologic surgery. In this volume in the Female Pelvic Surgery Video Atlas Series, edited by Mickey Karram, MD, hours of video footage, together with detailed discussions and illustrations, clarify how to most effectively perform a variety of hysterectomy operations and manage complications. Case-based videos take you step by step through simple and complicated abdominal hysterectomy; simple and complicated vaginal hysterectomy; laparoscopic and robotic hysterectomy; vaginal oophorectomy; endometrial procedures that avoid hysterectomy; and more.

Laparoscopic supracervical hysterectomy

http://www.parkermd.com and http://www.fibroidsecondopinion.com

Posted By William H. Parker, MD

Laparoscopic supracervical hysterectomy allows the uterus to be detached from inside the body using laparoscopic instruments while the doctor is viewing the uterus, tubes, and ovaries on a flat screen monitor using a camera attached to a telescope. This procedure differs from standard hysterectomies in that the cervix is retained in the womans body, while the main portion of the uterus is detached and removed through small (one inch) incisions in the lower abdomen. One of the instruments making this surgery feasible is called an electronic morcellator, which cuts the uterus into small pieces so that the tissue can be removed through the small incisions.

Abdominal Sacral Uteropexy

Abdominal Sacral Uteropexy an alternative approach to Uterine Prolapse. Indications for surgical correction of uterine Prolapse with uterine preservation include failure of conservative treatment in a nulliparous woman and when a patient declines hysterectomy.
http://clevelandclinic.org

My abdominal hysterectomy or My TAH!

I'm about to go in for my abdominal hysterectomy in just a few hours from now on October 13th, 2009 and I will be giving everybody updates on how I'm recovering from my TAH for one year or longer.

Abdominal hysterectomy Easy steps dr abdul vahab

Hysterectomy recovery abdominal core fit ball exercises by Pelvic Exercises.com.au

Expert physiotherapist designed and presented core control exercises from http://pelvicexercises.com.au Ideal for women recovering from abominal hysterectomy or vaginal hysterectomy and also suited to women recovering from prolapse surgery. These safe and gentle supported exercises are designed to improve core abdominal muscle control, posture and spinal stability. Learn how to correctly exercise your deep abdominal muscles and promote your return to work and general activity.

Hysterectomy for Benign Disease #5

http://www.us.elsevierhealth.com/product.jsp?sid=&isbn=9781416062714&lid=&iid=
Hysterectomy for Benign Disease, by Mark D. Walters, MD and Matthew D. Barber, MD, MHS, is the ideal way to enhance your skills in this key area of gynecologic surgery. In this volume in the Female Pelvic Surgery Video Atlas Series, edited by Mickey Karram, MD, hours of video footage, together with detailed discussions and illustrations, clarify how to most effectively perform a variety of hysterectomy operations and manage complications. Case-based videos take you step by step through simple and complicated abdominal hysterectomy; simple and complicated vaginal hysterectomy; laparoscopic and robotic hysterectomy; vaginal oophorectomy; endometrial procedures that avoid hysterectomy; and more.

Abdominal Hysterectomy

Dr. Lauren Hamiliton discusses suitable candidates for abdominal hysterectomies.

Live webcast: Robotic-Assisted Hysterectomy

More than half a million times annually in the US, cancer and other serious conditions warrant hysterectomy-- the removal of a woman's uterus.
Usually the procedure is performed via an abdominal incision that requires a 3- to 5-day hospital stay and a 6- to 8-week recovery period. Now, in a handful of hospitals around the country, new robotic technology allows physicians to perform this procedure through small incisions that require a recovery time of only one night in the hospital and a significantly shorter recovery period at home.

Watch as Hartford Hospital surgeon Dr. Amy Brown performs this revolutionary new procedure live on www.OR-Live.com

Types of Hysterectomy (Hysterectomy Quick Tips #3)

www.HappyHysterectomy.com looks at the four main types of hysterectomy: abdominal, vaginal, LAVH and LSH.

Histerectomía Abdominal Total: Anestesia- anesthesia in hysterectomy

Enviado por " CONSULTORIO MÉDICO JAVIER FLORES BUISSON " MÁNCORA- PERÚ...
URL: http://consultoriomedicofloresmancora.es.tl/ ...
Se trata de una histerectomía abdominal total realizada el día de ayer 8 de Septiembre del 2009, debido a miomatosis uterina y endometriosis.
Varios métodos anestésicos se aplican con resultados satisfactorios para esta cirugía. Actualmente la anestesia neuroaxial es la más frecuentemente empleada porque ofrece numerosas ventajas, entre las que se destacan: menor respuesta al estrés quirúrgico, menor trobogénesis y embolia pulmonar subsecuente, mejor motilidad intestinal, menor incidencia de náuseas y sedación posoperatoria, mejor control del dolor, evita la manipulación de las vías respiratorias y la disfunción pulmonar, sin requerir además, tiempo para la emergencia anestésica y se asocia a disminución de las pérdidas sanguíneas.
Estas técnicas regionales son bloqueos perfectamente aceptados, cada una tiene algunas desventajas cuando se les utilizan como técnica única; pero al combinarlas se puede reducir o aun eliminar los riesgos de estas desventajas.
Se realizó medicación preanestésica inmediata con midazolán a dosis de 0,03 mg/kg de peso por vía EV, se administró solución salina 0,9 % a razón de 10 mL/kg de peso. Se estableció monitorización mínima indispensable previa al proceder. En posición sentada se realizó punción epidural con aguja de Touhy G17 en el espacio intervertebral a nivel de T11-T12 con colocación de catéter; posteriormente punción subaracnoidea entre los espacios intervertebrales L3-L4 con trocar SPINOCAM G25 y se inyectó fentanyl 25 µg más bupivacaína (0,5 %) 10 mg, y se mantuvo a la paciente por un periodo de 10 min en posición de Scultetus a 5 º. En decúbito dorsal se administró por vía epidural bupivacaína (0,5 %) 50 mg y dosis subsecuentes según necesidades. Se registraron las variables presión arterial media (PAM) y frecuencia cardiaca después de la medicación preanestésica y cada 5 min durante el transoperatorio.
En este caso, se requirió de diacepam y midazolam endovenoso para complementar el bloqueo motor, de ahi es que se observa a la paciente en estado inconciente y con ayuda respiratoria manual.
Uno de los inconvenientes de la anestesia epidural aislada es su alta frecuencia de analgesia insuficiente, entre otros motivos por su bloqueo menos denso, con la anestesia subaracnoidea epidural combinada esta desventaja se supera. Por otra parte, el empleo de opioides como coadyuvantes, intensifica y prolonga el bloqueo sensitivo sin modificar el bloqueo motor;8 su uso se multiplica en forma logarítmica y es un procedimiento rutinario que influye en la optimización de la anestesia regional.7 se coincide con publicaciones que describen mejor calidad del bloqueo sensitivo al aplicar anestesia subaracnoidea epidural combinada a doble espacio.
La anestesia subaracnoidea epidural combinada a doble espacios resultó una técnica satisfactoria para la histerectomía abdominal, con excelente bloqueo sensitivo, alto grado de bloqueo motor y baja incidencia de complicaciones.

A peridural catheter was placed at the thoracic level 11-12 and subarachnoid puncture was performed between the lumbar spaces 3-4. Fentanyl 25 µg and intrathecal bupivacaine (0.5 %) 10 mg and 50 mg of epidural bupivacaine (0.5 %) were injected. The mean of the arterial pressure descended 8 mmHg and the heart rate 4 beats/min with statistical significance.

Hysterectomy Removal of the Uterus PreOp® Patient Education Feature

http://www.PreOp.com -or- http://bit.ly/PreOpFacebook -or- http://bit.ly/PreOpTwitter - Patient Education -
Patient Education Company
Your doctor has recommended that you have a hysterectomy. But what does that actually mean?

Hysterectomy is the removal of the uterus - the organ that holds and protects the fetus during pregnancy.

Hysterectomy often also involves the removal of other parts of the reproductive system, including the ovaries - where eggs are produced - the fallopian tubes which carry the eggs to the uterus and the cervix - or neck of the uterus.

There are many different reasons why a doctor may recommend this kind of surgery.

In many cases, disease or the growth of abnormal tissue will lead a doctor to recommend the removal of the uterus.

In some cases, unusually heavy menstrual flow and the accompanying discomfort may make hysterectomy an important treatment option for patient and physician to consider.

But no matter what the reason behind it, you should be aware that the removal of the uterus and other reproductive organs is a serious step and it can mean significant changes in your life.

After having a hysterectomy, you will not be able to have children and if your ovaries are removed as part of the procedure, you may even need to take medication to replace hormones that your body once produced on its own.

Patient Education Company

Your doctor will decide whether to make a vertical...
or horizontal incision.
An incision is made cutting through the skin and muscle of the abdomen.
Next, the surgeon will inspect the general condition of the abdominal organs.
Once the ovaries are exposed the uterus can then be separated from the bladder.
Next, the fallopian tubes are tied off and cut.
All arteries and veins connected to the uterus are tied off and cut as well.
Now the uterus can be pulled upward. This stretches the vagina
allowing the surgeon to cut the uterus free at the cervix.
The surgeon closes the top of the vagina with stitches,
and provides added support by attaching the ligaments that once held the uterus in place.
The incision is then closed...
and a drainage tube may be left inserted at the site.
Finally, a sterile bandage is applied.

Patient Education Company
As a normal effect of hysterectomy, you will no longer menstruate and will not be able to have children. If your ovaries were removed you may be prescribed hormone replacement drugs.

Fortunately, Hysterectomy surgery only rarely leads to complications. One potential complication is a persistent residual neuralgia - or pain - around the scar.

It can be either localized or general. It may develop soon after surgery - or even weeks or months later. Usually it will decrease in intensity with time. But in very rare situations, it can become permanent.

A more serious complication comes from accidental damage to the bladder or urinary tract during surgery.
Patient Education
Once you return home, you will be responsible to keeping the dressing intact and clean.

As with all surgery, you should be alert for signs of infection near the incision - increased swelling, redness, bleeding or other discharge. Your doctor may advise you to be on the alert for other symptoms as well. If you experience any unusual symptoms, report them to your doctor right away.


Patient Education Company

Laproscopic Hysterectomy

Laproscopic Hysterectomy is the removal of the uterus through very small incisions so there is a quick recovery and very small, hardly noticable scars on the abdomen. There are also less complications

Hysterectomy for Benign Disease #1

http://www.us.elsevierhealth.com/product.jsp?sid=&isbn=9781416062714&lid=&iid=
Hysterectomy for Benign Disease, by Mark D. Walters, MD and Matthew D. Barber, MD, MHS, is the ideal way to enhance your skills in this key area of gynecologic surgery. In this volume in the Female Pelvic Surgery Video Atlas Series, edited by Mickey Karram, MD, hours of video footage, together with detailed discussions and illustrations, clarify how to most effectively perform a variety of hysterectomy operations and manage complications. Case-based videos take you step by step through simple and complicated abdominal hysterectomy; simple and complicated vaginal hysterectomy; laparoscopic and robotic hysterectomy; vaginal oophorectomy; endometrial procedures that avoid hysterectomy; and more.