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Laparascopic Total Hysterectomy

A Laparoscopic Total Hysterectomy is similar to a Laparoscopic Supracervical Hysterectomy in that most of the work is done via three cuts in the abdomen.

However it differs because it involves removing the cervix as well. It could also be similar to a vaginal hysterectomy in that if the womb is not too large then it can be removed vaginally. The top of vagina will be stitched closed and the top, of the vagina, is then supported by tying the uterosacral ligaments to the top as well. All stitching is performed via the laparascopic instruments.

This Post Has 23 Comments
  1. I’m 56 and have already went through menopause due to medications I took 15 years ago. I have been experiencing spotting for1 1/2 years and now they want to do a hysterectomy. I have been reading the different kinds of ways they are done and I’m thinking a laparoscopic hysterectomy may be the one for me but I have concerns over them using the mocellator and don’t know whether keeping my ovaries is a risky move. I have had two surgeries that include polyp removal D&C with biopsy (which was negative) the last being in August of this year. I think the moccelator is alright if you are cancer free which I was in August but not sure right now. I follow up with doctor December 12th so was hoping to be a little more informed so I’m able to discuss options with doctor intelligently. Has anyone who has already gone through menopause had their ovaries removed did you have menopausal symptoms again? I’m not able to take hormone replacement therapy. Also, does anyone know if they can perform the laparoscopic hysterectomy and NOT use the moccelator?

    1. My mother had a complete hysterectomy about 15 years ago, I’m going in for mine in Dec but I have chosen to keep my ovaries providing they look healthy once doc is in there. I choose this because my mother says she would never make that decision to remove her ovaries again as she says she went through hell and continues to do so to date. She had not been through menopause when hers was removed so I’m sure that’s alot to do with it but now 15 years later she’s still struggling. My sister opted to keep just one ovary as she heard mom’s regrets and decided that wasn’t her cup o tea. She doesn’t have the same regrets so maybe that’s the better option of the two. For myself, if they are healthy I’ll leave them, if one looks suspect it’ll go but I do hope to keep just one for the hormones as I’m only 38. Best of luck to you and wishes for a speedy recovery‚ô°

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