Laparoscopically Assisted Vaginal Hysterectomy (LAVH)

What kind of outcome is typical for LAVH surgery?

LAVH surgery is very effective, with a success rate of about 95%.

What are the risks of not having LAVH surgery?

 If you don’t have a hysterectomy, symptoms such as pain and heavy bleeding will likely continue and may get worse. Ask your doctor if LAVH surgery may be right for you.

What are the alternatives to LAVH surgery?

The LAVH procedure is not right for all patients who require a hysterectomy, and an open surgery may be recommended. Depending on the reason you’re considering a hysterectomy, other alternatives may include endometrial ablation, uterine artery embolization (UAE), and medications.

What are possible side effects and complications of LAVH surgery?

After a hysterectomy, you will no longer have your period, and you won’t be able to get pregnant. Early menopause is possible. Other complications and side effects of a hysterectomy include fever and infection, bleeding, blood clots, obstruction of the bowels, and nerve or tissue damage. Hysterectomy could also cause a fistula, which is an abnormal connection between organs. Long-term effects could include vaginal dryness, decreased sex drive, and pain during sex.

How safe is LAVH surgery?

LAVH surgery is generally safe and effective. You should also know that Hancock Regional Hospital has been rated one of the safest hospitals in America by リープフロッグ・グループ、全国的な非営利医療監視組織。そして、インディアナ州で最も安全な病院に選ばれました。 ローン研究所病院のインデックス。

How do I know LAVH surgery is right for me?

If you’re experiencing chronic pain or excessive bleeding and hormones or other, more conservative treatments haven’t worked, you may be a candidate for LAVH surgery. Ask your doctor if LAVH surgery might benefit you.

Do I have options for anesthesia for LAVH surgery?

LAVH surgery is performed with general anesthesia.

What issue does LAVH surgery solve?

Surgeons perform hysterectomies to address a number of problems that can occur in a woman’s reproductive system. Reasons to consider a hysterectomy include heavy periods caused by fibroids; pelvic pain caused by endometriosis; pelvic inflammatory disease (PID); uterine prolapse; precancerous growths; and other conditions affecting the uterus.

How is LAVH surgery done?

LAVH surgery is minimally invasive laparoscopic surgery, in which your surgeon will perform a hysterectomy—a surgical procedure to remove the uterus—through small incisions in your abdomen.

Why might I have to wait to schedule LAVH surgery?

場合によっては、患者の体が手術の準備が整うまでに時間がかかる場合があります。たとえば、別の外科手術や病気など、別の医学的問題がある場合には、手術の予約を待つことがあります。皆様の健康と安全が私たちの最優先事項であるため、患者様にとって最適な時期に手術を予定しています。

外科チームは私の病歴を知っていますか?

あなたの健康履歴は編集され、手術前、手術中、手術後にチームが利用できるようになります。あなたが Hancock Health の患者の場合、私たちはシステム内のあなたの記録にアクセスできます。そうでない場合は、医師と協力して必要な情報を入手します。

どの外科医のアドバイスに従うべきかをどのように決定すればよいですか?

私たちの外科医であろうとなかろうと、あなたが安心できる外科医と一緒に仕事をする必要があります。

Do I have to get a second or third opinion for LAVH surgery?

セカンドオピニオンまたはサードオピニオンはいつでも受けることができますが、必須ではありません。

What should I bring to my first appointment with a surgeon to talk about LAVH surgery?

• 保険のご案内  
• かかりつけ医からの病歴を含む医療記録

Do I need a referral to see a surgeon about LAVH surgery?

Your health insurance provider may require you to get a referral from your primary care provider to see a surgeon about LAVH surgery.

麻酔が切れるまでどれくらいかかりますか？

全身麻酔が終わるまでには1時間ほどかかりますが、効果が持続するのは1日程度です。

What do I need to bring to the hospital the day of my LAVH surgery?

 Although some patients can go home the same day, LAVH surgery typically requires an overnight hospital stay. You should bring everything you’ll need for a night or two in the hospital, including changes of underwear, glasses or contacts, headphones, and your medications.

薬をもらうたびに名前と生年月日を聞かれるのはなぜですか?

 自分に処方された薬を確実に服用するための安全対策です。

私の手術チームにはなぜこれほど多くの人がいるのですか?

外科医に加えて、麻酔科医、看護師（患者の対応を専門とする看護師もいれば、外科医を補助する看護師もいます）、そして患者のチェックインとチェックアウト、記録の作成などを行うサポートスタッフがいます。彼ら全員が協力してそれぞれの仕事を実行するため、手順は可能な限り成功します。

Will I need someone to take me home after LAVH surgery?

For your safety and the safety of other motorists, you willneed someone to drive you home. If you don’t have a ride, we’ll help you arrange one.

What should I expect right before LAVH surgery ?

• 手術の1時間前に到着し、術前待合室に案内されます。
• 衣服や装飾品をすべて脱いで、病衣を着ます。 （貴重品は安全な場所に保管するか、ご家族に預けさせていただく場合がございます。） 
• 必要な書類に署名すると、術前看護師がバイタルサインを測定し、薬を確認し、質問に答えます。
• あなたは手術チームに会い、あなたの体に手術の場所をマークします。 
• IV (静脈ライン) が手または腕に設置され、全身麻酔を含む薬の投与が可能になります。
• 手術の時間になると、担架に乗って手術室へ運ばれます。

手術前に食事をしてはいけないのはなぜですか?

食べ物や唾液などの異物を肺に吸い込む誤嚥の危険性があります。これは、手術の麻酔により、胃の内容物が肺に入るのを阻止する体の能力が損なわれるために発生することがあります。

How should I prepare for LAVH surgery?

 手術当日の深夜以降は何も食べないように指示され、また、特定の薬や栄養補助食品の摂取を中止するよう指示される場合もあります。

How long will I be in the hospital after LAVH surgery?

You should expect to spend a day or two recovering in the hospital after LAVH surgery.

How long will I be under for LAVH surgery?

手術中と手術後の数分間は麻酔がかかります。

How long will LAVH surgery take?

LAVH surgery typically takes two to three hours.

私の様子について家族はいつ連絡されますか?

Our associates will get information from the surgical team in the operating room during your surgery and keep your family updated.

What will happen during LAVH surgery?

Your pelvic area may be shaved, and you’ll be given anesthesia. When you’re asleep, your surgeon will make a small incision in your belly and insert a small camera (laparoscope) to view the operation on a monitor, and a harmless gas will be put into your abdomen to expand the area around your organs. If your surgeon thinks the LAVH surgery can be accomplished successfully, other small incisions will be made to small tools—scissors, forceps, clamps, and others—can be inserted. Your surgeon will cut the uterus from the vagina and remove the uterus through the cut. The cuts are then all closed with stitches, and the operation is complete.

Will I need to fill any prescriptions or take medication after LAVH surgery?

手術後には、鎮痛剤、抗凝固剤、抗生物質、その他の症状を軽減する薬が処方される場合があります。

How soon after LAVH surgery can I eat or drink?

Most women can start eating normally a few hours after LAVH surgery. You may be asked to follow a clear fluid diet for a short time. After that, you should be able to return to solid foods—but easy-to-digest items, including soups, pudding, and yogurt, are recommended.

Will I receive pain medication right after LAVH surgery?

ほとんどの場合、患者は手術直後に鎮痛剤を受け取ります。 

How soon after LAVH surgery will I be up and moving around?

You will likely have a short hospital stay after LAVH surgery.

手術後、いつ主治医と話せますか?

手術後は回復室や病室で外科医と話すことができます。

How will I know if the LAVH surgery worked?

Your surgeon will discuss your procedure with you. Successful surgery will stop your period and should relieve the pain or other symptoms you’ve experienced.

What can I expect right after LAVH surgery?

Immediately following surgery, you’ll spend time in the recovery room and receive pain medication. You’ll then be taken to your hospital room where you will be able to see friends or family who came with you.

What are payment options like for LAVH surgery at Hancock Health?

Hancock Health は、すべての患者が手頃な価格で優れた治療を受けられるよう支援することに尽力しています。お支払いオプションの詳細については、こちらをご覧ください。 HancockRegionalHospital.org の請求と保険に関する FAQ ページ。

How much does LAVH surgery cost?

に相談してください。 価格透明性ツール at HancockRegionalHospital.org for an idea of how much LAVH surgery might cost.

Will insurance cover LAVH surgery?

In most cases, insurance will cover most of the costs associated with medically necessary LAVH surgery. To get an idea of what LAVH surgery might cost, use our 価格見積りツール。