Laparoscopic Hysterectomy with Removal of Ovaries - Part 1 of 4

[wichondo]

thanks for share, I'm studying anatomy =D

[florgak101]

what if you hit the bladder and cut that tissue? is it common for surgeons to injure organs during surgery thts visceral? 

[lyricspint]

my aunt died on the table having this done a few weeks ago.

[DrKevinStepp]

@lyricspint ... I'm so very, very sorry for your loss. -KS

[DBCrowns]

@lyricspint did she have an abdominal hysto? cause that is a big big incision with more blood los.. this one is small and hardly any bleeding to cause complications. sorry about you aunt?

[caramelhoney29]

@lyricspint You and your family are in my prayers.

[CHELSEAGRINing]

@lyricspint How did that happen? What caused it?

[fastandeffective]

A vaginal hysterectomy is faster, safer, causes less pain and increases patient satisfaction!

Get informed.

Read the relative clinical statistics on the British Medical Journal.

[DrKevinStepp]

@fastandeffective Thanks for your opinion.  (As a urogynecologist, I too am a fan of vaginal hysterectomy.)

[notreal010]

@fastandeffective what you suggest on a patient who´s never have been pregnant, a vaginal or a laparoscopic? (im a med student)

[JermsKitt]

Just had LAVH a week ago due to endometriosis/adomynosis, ovarian cyst on left, and severe bleeding and pain. This is fasinating to watch.

[NashvilleKildCountry]

I really envy your ability to hold onto your lunch while doing this. I was fine until you starting cauterizing with that instrument. That bubbling and smoking tissue made my stomach churn. I know, I'm a wimp, haha.

[channelmaster10]

Hello,im 31 year old and i have a hysterectomy but i stil have my ovary but before that i have a cyst on my ovary and surgery i cyst can back again allway in pain what can i do im tire, of pain please not sure if i remove my ovary ..

[digitalis112]

Thanks Dr. Stepp from a 4th year med student looking for something a little more interesting than textbooks to describe a lap hysterectomy :)

[MorgannBites]

@MissMaddy881

Sorry if i got the user wrong, but i know how you feel about being to young to deserve or get endometriosis, i'm 14 and have a sevre case.

[drchinmay81]

hello sir.. its really a wonderful video and i thank you for posting it full length.

i am amazed with the way you use the ergonomics to your advantage.i request you to kindly elaborate regarding the specific location and distance between the port position and specially the ipsilateral one which is so good in this video. once again i thank you for this video. eagerly awaiting your reply....

[valvar2608]

i had both my ovaries removed when i was four months pregnant with my first and only baby. and in two week im getting my uterus removed

[kankuropuppet10]

What's that orange stuff? Alwys wanted to know,..

[CODWAL12DEN]

does this hurt? it looks painful

[donnad23]

im 19 and about to get my ovaries removed due to severe endometriosis and 9 years of pain and trying to treat but nothing has helped. im so glad to see this video of the procedure. thank you for posting!!

[MissMaddy881]

@donnad23 i have endometriosis, too. i'm not sure how bad it is, but i have very sharp pain that moves from one side to the other. sometimes i can hurt in two places at one time. i'm 21. we're too young for this crap.

[notocha]

@MissMaddy881 yes specially if you haven't been a mother!! after that you dont need the womb for anything else, believe me, i went through this and i'm so happy i did thanks my to my God and the Dr that helped me!!!

[MissMaddy881]

@notocha i have a great doctor, too. he's very nice and funny. he also takes his time with me. the first time i saw him, he didn't have on a lab coat! he also makes me feel very comfortable. he didn't want to do a hysterectomy, but he will do the laparoscopy if the shot i had yesterday doesn't work. the shot seems to be working fine!

[XbabyXloveXu]

Im only fourteen and I have had problems with my ovaries for almost four years now and my doctors were talking about this procedure, im so scared!TT-TT

[DrKevinStepp]

@XbabyXloveXu BE CAREFUL. at your age, I would make sure you get a few opinions from different doctors before you have surgery.

[rockynia]

@XbabyXloveXu Dont unless its serious because it would eliminate your chances to get pregant in the future

[SH0RTiEluvsATL]

I had this surgery in august 2010and omg... i feel like a new woman, no hormone therapy or anything.

[TheDragonslayerjoe]

ewwwwwwwwwww omg thats sik

i rather go to hell than prform surgery on that

[bob87605]

poor woman : (

[Magnyum]

i leik eggs

[drchinmay81]

nice



[drchinmay81]

nice



[TheFightingwarrior]

why does it look like there mist coming out of her and why is there no blood

[kjandu100]

@TheFightingwarrior im not a doctor but i belive it the clamp instrument, it seals the tissue to avoid bleeding and makes it smoke abit

[Rhizo1992]

I have a question

I had my RT ovary removed about 7 yrs ago bcause of a big cyst and after that my gallbladder... but since then the pain has only gotten worse, I can't pick up heavy things or rough movements bcause I can fell like a rupture inside and after a few days my belly button starts to bleed.  I was told it would take5 yrs 2 heal inside but its been 7. Is this normal? Or is this have to do with something diff? I been 2 the DR and on antib but it only happ when I pick up heavy things.

[LoveGerryNDewey]

i desparately want to have this done. i've wanted to since i was 12. i'm 24 now. i have endometriosis and am going from one gynecologist to the next trying to find one that will do it. they dont seem to take uterine conditions seriously unless its cancer.

[notocha]

@LoveGerryNDewey SORRY TO READ THIS, I HAVE DEVELOPE ENDO AFTER MY 4TH C -SECTION. AFTER TWO YEAR OF MY LAST C-SECTION I WAS FEELING A LOT OF PAIN AND IT IS WORST IN CYCLE, AND ALSO FEEL LIKE A HARD LUMP IN MY LEFT SIDE OF THE C-SECTION INSITION. MY GYNO SEND ME TO A SPECIALIST AND ON SEPT 27 2010 I'M HAVING HYSTERCTOMY WITH THE REMOVAL OF ONE OVARY. I HOPE YOU FIND SOME ONE THAT CAN HELP YOU OUT!!

[leonp706]

@notocha hi i am going fo a historectomy my self i was just wondering if u had any pain going down your back and legs and very bad depresion and mood swings and im 43 thnkx reply pls

[notocha]

@leonp706 DID YOU ALREADY WENT TROUGHT THE SURGERY?I GOT MINE ON SEPT 27 2010, NOW IS 7 DAYS OF MY SURGERY.AND YES I FEEL PAIN ON MY BACK AND LEGS I FEEL LIKE IF THE NERVES ARE BEEN PRESS.MY GYNO ALSO DID A MINI TUMMY TUCK,I THINK THATS WHY I FEEL ALL THIS PAINS. SO DIFFERENT FROM MY C-SECTIONS.ALSO HAVE DEPRESION AND I CRY I FEEL THAT THIS WILL NEVER END.BUT LET ME TELL YOU THAT ALL THIS WILL PASS DAY BY DAY.BE POSITIVE,THANKS GOD I HAVE MY MOM AND HUSBAND HERE THATSUPPORT ME.I HOPE YOUTHE BEST

[notocha]

@leonp706 you mean already had your hysterectomy? sorry to respond too late, but like i post few months ago, i went to my hysterectomy, i had little bit of depression pain, disconfort and mood swings the first 2 weeks after that everything was getting better by the days were passing. And now I feel so good everything is fine. Thanks first to my God and the Dr that helped me. of course my moms and husband support!!!

[misteeq64]

Morphine please q2hrs after this

[korsisalon]

Thanks for the great video

[vikramrghanekar]

hi

Nice job.

1.Can you elaborate more upon port placement ?

2. Do you use Ligasure 5mm or 10mm?

3. Have you tried Harmonic to take uterine vessels?

Dr. Vikram Ghanekar

[amatyable]

The presenters of this program sud warn any fake doctors not to try this following the teaching of these professionists. Few who went to sch, aquired the degree etc damaged many fellows all over the world due to carelessness, ingnoracy and bride = mistakes they claimed but a poor person never won this case, you know.

[Flacoyo58]

I have noticed seious people are in this, please someone tell me: What are the best Hormons should I take? the have removed my womb and ovarious. I have heard some hormons causes cancer. So, please tell me what do do? Mexican doctors say different things. I am confused.

[DrKevinStepp]

@Flacoyo58 : I'm not afraid to use estrogens if a patient has symptoms that would be helped with hormones. I don't routinely prescribe hormones just because someone has their ovaries removed.

[Kortyez]

@DrKevinStepp if testicles were removed there is not a need to routinely prescribe hormones .....

[Kortyez]

@Kortyez it is nonsense ... it is a need in hormones!!!!!!

[notocha]

@Flacoyo58 I think that a good healthy diet habbit, and yes thats what they say about cancer, but on my opinion i would not take any drugs (medicine) just take soy product, include them in your diet. Ask your self this question, what does our anccesters took for this? in mexico all ladies that I know and went through their menopause didn't ever took anything for that!!! and they live healthy lifes!!!

[StrengthFromAbove83]

saw this today!  great procedure!

[hupakoe05]

Nursing student. never understood the placement of the uterus in the abdomen until i saw this. very helpful narrative!!!

[annamclark]

This was mind blowing. Thank you so much for posting this. It makes me want to reach my goal of being a surgeon even more.

[Jenna08848]

being a nursing student I fond this to be medically significant,, and I was eating dinner while watching  ( my desire nursing job is surgery) thanx

[AMBERELLSWORTH1979]

I had a laparscopy done to remove my right ovary because of a solid cyst & elevated ca125 levels. But my dr read her notes wrong & removed a cyst on my left ovary that looked normal. The right side still has cysts and solid thing. How is it possible to miss this? I am in alot of pain & have fuid in pelvic area & r ovary is enlarged. Its been 3 months since surgery & havent been able to do anything since, due to pain! Please help!

[DrKevinStepp]

Happy to discuss you case if you would like.. you can contact me directly at my website (shown on the video). Kevin Stepp, MD

[lumacetate]

@AMBERELLSWORTH1979 get a good lawyer.

[lumacetate]

@AMBERELLSWORTH1979 get a lawyer.

[siyamim]

don't you use uterine manipulator ?

[DrKevinStepp]

I use VCare or Rumi/KOH

[Mp3Theft]

I like how you've made a little bubble box indicating where the uterus/oviduct/ etc. are.

[punkrockdrummer1990]

does removing the ovaries cure polysistic overy syndrome?

my mum would be so happy is this was true......plzzzzzzzzz respond

[throwyouunderthebus]

If they are gone it sure would.

I had them. You can usually cure it very simply by dropping some weight instead of surgery. It depends on how severe it is. Usually dropping twenty pounds takes care of it.

I don't know your Moms build so that could be a factor or not.

[ladyvanymarie87]

no envalde le duele a las mujeres si las destrozan mucho..