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 蛙跳集團，一個全國性非營利醫療保健監督組織；並被評為印第安納州最安全的醫院 勞恩研究所醫院指數。

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?

在某些情況下，患者的身體需要一段時間才能為手術做好準備，例如，如果您有其他醫療問題，包括另一次外科手術或疾病，我們可能會等待安排手術。您的健康和安全是我們的首要任務，因此我們會在最適合患者的時候安排手術。

手術團隊會知道我的健康史嗎？

您的健康史將在手術前、手術期間和手術後收集並提供給團隊。如果您是 Hancock Health 患者，我們將能夠在我們的系統中存取您的記錄。如果您不這樣做，我們將與您的醫生合作以獲取必要的資訊。

我該如何決定遵循哪位外科醫師的建議？

您應該與您感覺舒服的外科醫生一起工作，無論他是否是我們的外科醫生之一。

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

您隨時可以獲得第二或第三意見，但這不是必需的。

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

• 保險資訊  
• 來自您的初級保健醫生的醫療記錄，包括您的病史

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.

麻醉藥效需要多久才能消失？

全身麻醉大約需要一個小時才能消失，但您可能會在一天左右的時間內注意到效果。

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.

為什麼每次取藥時都會詢問我的姓名和出生日期？

 這是一項安全預防措施，可確保您收到為您開立的藥物。

為什麼我的手術團隊裡有這麼多人？

除了外科醫生之外，您還有麻醉師、護士（其中一些專門負責與患者合作，其他人協助外科醫生）以及支援人員，他們將檢查您的進出情況、編制您的記錄等。他們一起工作，完成各自的工作，因此整個過程盡可能成功。

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 ?

• 您將在手術前一小時到達並被護送到術前等候區。
• 您將脫掉所有衣服和珠寶，並穿上病號服。 （您的貴重物品將被放置在安全區域或可能交給家庭成員。） 
• 您將簽署所有必要的文件，術前護理師將測量您的生命徵象、檢查您的藥物並回答任何問題。
• 您將與您的手術團隊會面，他們將在您的身體上標記手術位置。 
• IV（靜脈注射管）將放置在您的手或手臂上，以便進行藥物治療（包括全身麻醉）。
• 當您進行手術時，您將被擔架推入手術室。

手術前為什麼不能吃東西？

有誤吸風險，這意味著將食物或唾液等異物吸入肺部。發生這種情況是因為手術麻醉劑會損害您的身體阻止胃內容物進入肺部的能力。

How should I prepare for LAVH surgery?

 您將被告知在手術當天午夜之後不要吃任何東西，並且您也可能被告知停止服用某些藥物或膳食補充劑。

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?

在整個手術過程中以及手術後幾分鐘，您將被麻醉。

How long will LAVH surgery take?

LAVH surgery typically takes two to three hours.

我的家人甚麼時候會知道我的狀況？

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，您可能會服用止痛藥、抗凝血劑、抗生素和/或其他減輕症狀的藥物。

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?

在大多數情況下，患者在手術後立即接受止痛藥。 

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

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

手術後我什麼時候可以和我的外科醫生交談？

手術後，您可以在復健室或病房與您的外科醫生交談。

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 致力於幫助所有患者提供負擔得起的優質護理。要了解有關付款方式的更多信息，請訪問 HancockRegionalHospital.org 上的計費和保險常見問題解答頁面。

How much does LAVH surgery cost?

諮詢 價格透明度工具 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 價格估算工具。