Laparoscopic Hysterectomy with Ovarian Removal - Part 4 of 4

[Vinnylili05]

Do you think that I would be a good candidate considering my previous UFE.Any other suggestions or advice? Thanks in advance!

[DrKevinStepp]

@Vinnylili05 UFE (embolization) does NOT mean you are no longer a candidate for surgery. If you are interested, you can contact me directly through my website. I'm happy to help if I can. --Kevin Stepp, MD drkevinstepp. com

[Vinnylili05]

I recently had a Uterine fibroid embolization performed about a year ago and I am no better off than I was before. I still have severe lower pelvic pain, heavy menstrual cycles, frequent urination and alot of other irritable complications, because of my innumerable amount of large and small fibroids as well as ovarians cysts. I am considering a myemetomy to have the fibroids removed.

[KJT922010T]

My mom is getting it done, She has ovarian cists and instead of just watching and waiting she's just going to get this done, And it runs in the family her mom my grandma had ovarian cancer. She's 51 she doesn't need them for anything. I was told its a in and out surgery.

[FelineSweetheart]

When I was 16, I had an ovary removed because the cyst had a tail that had wrapped around the ovary and the cyst itself. The size of the cyst was a little bit bigger than a golf ball. I'm 19 now and had surgery again in May of last year to remove a smaller cyst on my other ovary. The doctors didnt take that ovary out because there was no need.

[lordoftheriffs79]

Great work, almost no bleeding, no complications, minimally invasive, and above all, very fast, you completed the surgery in less than 40 minutes, well done sir.

[cristina87z]

Wow I find this amazing, great job.

[dustyrose1964]

iam having this done in the next few weeks ..what if your on your period do they still do it or as there got to be a set time ..

[DrKevinStepp]

@dustyrose1964 No problem if on your period.

[DBCrowns]

I had a divinci myomectomy and there is a lump under my incision. what would that be?  a surgerical hernia?

[Suiton1]

Doesn't get any bloodless than that.

[strawberrywhip1]

Very interesting. I had this procedure 2 weeks ago for stage 1 endometrial cancer, and have recovered very quickly, no pain at all. Wonderful from the patients pont of view..thanks to all the wonderful surgeons!

[Cheknkau1]

Amazing, impressive... I specially like the care about the post-surgery

[bobthebuilder0394]

one of the coolest things i have seen in my life

[silverbeam88]

I have a question. I am 22 years old and I have a 2cm cyst on my right ovary. My doctor says that in order to remove the cyst, the ovary must go as well. Is this true?

[DrKevinStepp]

@silverbeam88 -- Usually don't have to remove the whole ovary. Cysts are very common at your age. Every case is different. If you are unsure, don't hesitate to get a second opinion.

[silverbeam88]

@DrKevinStepp What if it increases?

[CHANDRAALWIS]

@silverbeam88 You should definitely get a second opinion. 2 cm cyst might be a normal cyst which doesnt need removal.

Chandra

[silverbeam88]

@CHANDRAALWIS what if it increases?

[Krinisty]

This is incredible! Great Job! I'm sure during your time in your work you've come across women with Endometritis? When doing a Laparoscopy to find the problem area, was it much trouble to do so? And could you explain the most common symptoms women with it would complain of? Thank you so very much! : )

[mammal46]

I hated my hystorectomy! I had cervical cancer so the whole thing had to go, but I am nothing like I was before my hystorectomy. Ofcourse mine was not nice and neat like this, I was cut open, gutted and sewed back up. I was in severe pain, and took 8 weeks to heal. My doctor was kind enough to give me vic5/500 po q6hr prn which didn't help very much at all.

Thanks for posting this video, I always wanted to see what it looked like. GOD bless and take care

[TheFightingwarrior]

why do u have cramps wen ur on ur period

[DrKevinStepp]

@TheFightingwarrior Uterus contracting to expel the lining that is no longer needed since she is not pregnant.

[josediazv01]

Hello,and first let me congratulate you on a very well done laparoscopic histerectomy,and Its speaks highly of you to share it with the world,have a few questions, what brand and model of uterine manipulator do you use? and do you perform cistoscopy in all this patients? use indigo blue?, I use to bend the needles my self in my surgerys but It damages the needle holders.so now I grap the suture and takeit out trough the 5mm port removing the trocar, havent lost any needles or more needleholders

[DrKevinStepp]

@josediazv01 -- thanks for your comments. I usually use the Rumi/Koh or the V-Care. Each has their advantages in certain situations. I do perform cystoscopy with indigo on almost all of these patients.

[DrKevinStepp]

@josediazv01 I use two different types of uterine manipulators... V-Care (ConMed) or Rumi/KOH (Cooper Surgical).

[sherylranee]

I really enjoyed this video, the only thing I would have liked to have seen is the vaginal portion of the case. I am writing a case study on the LAVH and wanted to show from start to finish. Thank you for your details, I will be assisting as a student surg. tech on this procedure for the first time this week.

[FeedOnMeLikeCancer]

ewww

[regalauthor]

Thank you very much, Dr. Stepp for this remarkably well done video. I am a nurse, so I appreciated the narration and one you identified the landmarks and structures, it made such perfect sense. Furthermore, I am 10 weeks away from my very own LAVH /c possible LSO. (It's twisted up behind the uterus.) While these graphic videos might deter some, it has only given me clarity and peace of mind that I am heading in the right direction. Masel Tov and good work. Thank you.

[DrKevinStepp]

@regalauthor - I'm glad you found this helpful. Best of luck on your surgery.

[annamclark]

You said that the patient went home very shortly after her surgery. Was she under a general or local anesthetic?

[DrKevinStepp]

general

[pandeykuldip]

Very good,worth watching.

[DrKevinStepp]

In this case, since we also performed a hysterectomy, it is easiest to remove it through the vagina. If a hysterectomy is not being performed, the ovary is usually placed inside a bag and removed through the belly button.

[Mp3Theft]

why is it that u must remove the ovary through the vagina can't you just lift it out =\

[kenyanexpat]

Excellent- thank you - I especially liked your tip about straightening the needle so as to take the needle from a 5 mm trocar!

[DrKevinStepp]

thanks. I use that trick every time.

[mardigras4]

awsome!. I had a c-section and now i kind of have an idea of they sew me up!

[juzdrea]

awesome. thks