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Does Laparoscopic Transvaginal Hysterectomy Need Partial Anaesthesia?

Posted on Fri, 28 Aug 2015

Question: does laproscopic transvaginal hysterectomy needs partial anaesthesia?

Answered by Dr. Dr. Ivan Romich (57 minutes later)

Brief Answer:
it requires general anashesia

Detailed Answer:
Hi and welcome.
I dont know what you mean by partial, but laparoscopic hysterectomy requires general anasthesia since it is procedure where abdominal cavity is entered and patient must sleep,there is no possiblity for regional or local anasthesia. Wish you good health. Regards

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Dr. Ivan Romich (19 hours later)

APPROXIMATELY HOW MUCH TIME ITAKES FOR HEALINGS IN DIABETIC PATIENTS ON INSULIN AFTER OPEN SURJERY OF HYSTERECTOMY? Which antibiotics can be given prior to surgery to prevent infection? What measures we can do to fasten healing
THANKS......
waiting for ur reply

Answered by Dr. Dr. Ivan Romich (18 hours later)

Brief Answer:
Several things

Detailed Answer:
Hi and welcome.
Recovery and wound healing is just slightly delayed in diabetics and it will take 3-4 weeks. Diabetes will lead to increased risk of wound infection. In you case, Cefazolin and metronidazole or clyndamicin should be given to prevent infection.This will give your surgeon 1 hour prior to procedure. There is no much you can do to prevent healing,but keeping wound clean,shower it and regulate your blood sugar. Wish you good health. Regards

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Dr. Ivan Romich (4 hours later)

Is D n C for endometrial hyperplasia in diabetic, age 65 years old n heart patient preffered over hysterectomy? does it require local anesthesia too coz patient is too frail to tolerate any pain.? keeping in mind the pros n cones of D n C n hysterectomy in such patient, what would u choose? THANKS N REGARDS

Answered by Dr. Dr. Ivan Romich (3 hours later)

Brief Answer:
hysterectomy recommended

Detailed Answer:
Hi and welcome.
In postemenopasual women it is always recommended to perform hysterectomy,especially now when it can be done by minimally invasive surgery.
DnC has high risk or recurence,it may cause unexpected bleeding and uterus infections,and at the end isnt significatnly less invasive comparing to lap hysterectomy. Diabetes has no significant role in both procedures. DnC can be done with no anashesia,but postoperative pain is same for both procedures.

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Above answer was peer-reviewed by : Dr. Raju A.T