It used to be that you only had two choices – you either got an abdominal hysterectomy, or a vaginal hysterectomy. You may know that you are getting a vaginal hysterectomy, but there are still various procedures that you can choose from.
Total Vaginal Hysterectomy, or TVH, as it is known, is conducted vaginally; the incision is through the vagina, instead of the abdomen.The complete cervix and two ovaries are removed along with the cervix. Should your surgeon require a check of cancer cells or spreading endometriosis, then it is not recommendable to have a TVH. Additionally, if your uterus is enlarged to a certain degree, or in some cases, you have not given birth vaginally, then it is also not recommendable to get a TVH. This surgery has the danger of increased blood loss.
After a Total Vaginal Hysterectomy, lifting and straining are restricted for the whole duration of the 6-8 week recovery period. As well, you will have a restriction on intercourse for the whole of the initial recovery period. Since the ovaries are removed, your doctor may recommend hormone replacement therapy (HRT) as you will be thrown into what is called surgical menopause.
Partial Vaginal Hysterectomy or PVH is another type of surgical procedure that keeps either all or part of the cervix, or the ovaries, or both. Partial Vaginal Hysterectomy does not need immediate HRT since the ovaries are still there to give hormones. Like a TVH, a PVH has, give or take, the same recovery period as a TVH.
Laparoscopic Assisted Vaginal Hysterectomy – or LAVH, during which several small cuts are made in the abdominal wall through which slender metal tubes called “trocars” are inserted providing access for a laparoscope and other small surgical instruments. Almost all of the cutting of the uterus and the cervix are done using the holes made by the trocars, after which the cut parts are removed through the vagina.
A Laparoscopic Assisted Vaginal Hysterectomy can be either partial or total; it is up to the doctor to decide whether to remove the ovaries and cervix along with the uterus. Again, the decision to have HRT depends on whether the surgery is total or partial.
A Laparoscopic Assisted Vaginal Hysterectomy’s recovery period is, more often than not, shorter than the recovery period of the TVH or the PVH. Lifting and straining restrictions are also in place for the 4-6 week recovery time of a LAVH. As well, as with the other kinds of vaginal hysterectomy, you will have a restriction on intercourse for the whole of the initial recovery period.
For more information about the different kinds of vaginal hysterectomy and what to expect before and after your surgery, check out Women’s Hysterectomy Stories, at http://www.hysterectomyresources.com.
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