Re: new way to do hysterectomy....

[Guest guest]

Carla Dionne wrote:

> laparoscopectomy????? This morning on the Today show. Can't say this

> thrills me. If the disease is so dire that a hysterectomy is required,

> wouldn't it be prudent to remove the uterus in a fashion that provides

> the ability to do pathology on it? I thought morcellation prevented

> that option. Is this the gyn answer to UAE? Make a simpler

> hysterectomy that is more attractive and promote it as being less

> invasive? Carla

>

Hi Carla,I don't know-A friend of mine has one very small sub-mucousal fibroid

(3cm).It has

landed her in the hospital a couple of times with uncontrolled bleeding(her hemo

was at 60) This

fibroid just appeared in her late 40's by the way.She's 50 now.

Anyway to make a long story short after trying a couple of options she has

decided on

laparoscoptomy hysterectomy.I am quite sure that they have ruled out any form of

pathology

through other means-she's at a McGill teaching hospital.(not to say that they

don't screw up,but

I believe her to be in very good hands)She is having the surgery. next month and

she told me its

either 1 or 2 days in hospital and a very short recovery.

Her surgeon is Dr.Tulandi,at the Royal in Montreal.I don't know if UAE

was offered to

her.

Bonnie

> _____________________________

> NBC -- Today in New York

> WNBC 12/19/00 - 6:14 AM... home and i would have to be more dependent on

> other people helping out at home, so... >>

>

> Reporter: Patti parliente needed a hysterectomy but couldn't afford to

> be laid up so her doctors are recommending a laparoscoppectomy. Here

> they are separating the ovary from the uterus. Once the surgeons cut out

> the uterus the question is how to remove it through the small holes. The

> answer is a device called the morcellator. The device cuts the uterus

> into small strips the surgeon can then easily pull out of the body.

> Within a short time the entire uterus is gone.

>

> >> In the operating room there's less dissection you're required to do.

>

> >> Reporter: Because there's no big incision, the recovery is faster

> and less painful. This woman had the procedure five weeks ago.

>

> >> That night after the procedure i was walking around and i was fine. I

> went home the next day, and i would say after two, three-days i was

> walking around doing things at home.

>

> >> Reporter: That makes having the surgery more bearable. For nbc news,

> i'm dr. ...

>

>

>

[Guest guest]

This one seems overkill to me. A small submucousal fibroid can usually

very easily be taken out through hysteroscopic resection. I don't see why

someone would opt to take out the whole uterus just to get one of these

guys out--the procedure can be done vaginally and the recovery is a day or

two rather than the 6-8 weeks for a hysterectomy? (Plus you don't lose any

organs).

I have the exact same fibroid (3cm submucosal causing extreme bleeding), I

would love to hear some insight on why this friend of yours has opted for

hysterectomy as I will be weighing all my options as well.

Sydney

>Hi Carla,I don't know-A friend of mine has one very small sub-mucousal

>fibroid (3cm).It has

>landed her in the hospital a couple of times with uncontrolled

>bleeding(her hemo was at 60) This

>fibroid just appeared in her late 40's by the way.She's 50 now.

>Anyway to make a long story short after trying a couple of options she has

>decided on

>laparoscoptomy hysterectomy.I am quite sure that they have ruled out any

>form of pathology

>through other means-she's at a McGill teaching hospital.(not to say that

>they don't screw up,but

>I believe her to be in very good hands)She is having the surgery. next

>month and she told me its

>either 1 or 2 days in hospital and a very short recovery.

>Her surgeon is Dr.Tulandi,at the Royal in Montreal.I don't know

>if UAE was offered to

>her.

>Bonnie

>

> > _____________________________

> > NBC -- Today in New York

> > WNBC 12/19/00 - 6:14 AM... home and i would have to be more dependent on

> > other people helping out at home, so... >>

> >

> > Reporter: Patti parliente needed a hysterectomy but couldn't afford to

> > be laid up so her doctors are recommending a laparoscoppectomy. Here

> > they are separating the ovary from the uterus. Once the surgeons cut out

> > the uterus the question is how to remove it through the small holes. The

> > answer is a device called the morcellator. The device cuts the uterus

> > into small strips the surgeon can then easily pull out of the body.

> > Within a short time the entire uterus is gone.

> >

> > >> In the operating room there's less dissection you're required to do.

> >

> > >> Reporter: Because there's no big incision, the recovery is faster

> > and less painful. This woman had the procedure five weeks ago.

> >

> > >> That night after the procedure i was walking around and i was fine. I

> > went home the next day, and i would say after two, three-days i was

> > walking around doing things at home.

> >

> > >> Reporter: That makes having the surgery more bearable. For nbc news,

> > i'm dr. ...

> >

> >

> >

[Guest guest]

Sydney Lagier wrote:

> This one seems overkill to me. A small submucousal fibroid can usually

> very easily be taken out through hysteroscopic resection. I don't see why

> someone would opt to take out the whole uterus just to get one of these

> guys out--the procedure can be done vaginally and the recovery is a day or

> two rather than the 6-8 weeks for a hysterectomy? (Plus you don't lose any

> organs).

>

> I have the exact same fibroid (3cm submucosal causing extreme bleeding), I

> would love to hear some insight on why this friend of yours has opted for

> hysterectomy as I will be weighing all my options as well.

>

> Sydney

Hi Sydney,

They did take it out,from what I understand(this friend,Suzanna,is from Latin

Ameriaca and

sometimes the communication is hard) anyway it grew back.She went through 2

years-Lupron,Prometrium(she tells me she did not religiously follow progest.

treatment nor

iron-hates taking pills-it can be a circle,as I understand,anemia makes for more

bleeding.) Also

the recommendation was to stay off her feet during her period.She runs her own

business and works

a 6 day weeks.For her, staying off her feet was not an option.She wants it all

out-to be done

with it.

The point is,the are not doing an abdominal hyterectomy,they are doing

laparoscoptomy

hysterectomy.

I have a very big uterus and still resist hysterectomy,(I had a UAE,uni-lateral

and had post embo

syndrome for a year) however,I am trying to understand her position.The position

,in her words,

is that she wants to be free.Freedom for some is in the challenge of the

" fight " .The " fight is

defined differently for eachh,as is " surrender "

Bonnie

>

>

> >Hi Carla,I don't know-A friend of mine has one very small sub-mucousal

> >fibroid (3cm).It has

> >landed her in the hospital a couple of times with uncontrolled

> >bleeding(her hemo was at 60) This

> >fibroid just appeared in her late 40's by the way.She's 50 now.

> >Anyway to make a long story short after trying a couple of options she has

> >decided on

> >laparoscoptomy hysterectomy.I am quite sure that they have ruled out any

> >form of pathology

> >through other means-she's at a McGill teaching hospital.(not to say that

> >they don't screw up,but

> >I believe her to be in very good hands)She is having the surgery. next

> >month and she told me its

> >either 1 or 2 days in hospital and a very short recovery.

> >Her surgeon is Dr.Tulandi,at the Royal in Montreal.I don't know

> >if UAE was offered to

> >her.

> >Bonnie

> >

> > > _____________________________

> > > NBC -- Today in New York

> > > WNBC 12/19/00 - 6:14 AM... home and i would have to be more dependent on

> > > other people helping out at home, so... >>

> > >

> > > Reporter: Patti parliente needed a hysterectomy but couldn't afford to

> > > be laid up so her doctors are recommending a laparoscoppectomy. Here

> > > they are separating the ovary from the uterus. Once the surgeons cut out

> > > the uterus the question is how to remove it through the small holes. The

> > > answer is a device called the morcellator. The device cuts the uterus

> > > into small strips the surgeon can then easily pull out of the body.

> > > Within a short time the entire uterus is gone.

> > >

> > > >> In the operating room there's less dissection you're required to do.

> > >

> > > >> Reporter: Because there's no big incision, the recovery is faster

> > > and less painful. This woman had the procedure five weeks ago.

> > >

> > > >> That night after the procedure i was walking around and i was fine. I

> > > went home the next day, and i would say after two, three-days i was

> > > walking around doing things at home.

> > >

> > > >> Reporter: That makes having the surgery more bearable. For nbc news,

> > > i'm dr. ...

> > >

> > >

> > >

[Guest guest]

Bonnie,

Thanks, I get it now.

Sydney

>Hi Sydney,

>They did take it out,from what I understand(this friend,Suzanna,is from

>Latin Ameriaca and

>sometimes the communication is hard) anyway it grew back.She went through 2

>years-Lupron,Prometrium(she tells me she did not religiously follow

>progest. treatment nor

>iron-hates taking pills-it can be a circle,as I understand,anemia makes

>for more bleeding.) Also

>the recommendation was to stay off her feet during her period.She runs her

>own business and works

>a 6 day weeks.For her, staying off her feet was not an option.She wants it

>all out-to be done

>with it.

>The point is,the are not doing an abdominal hyterectomy,they are doing

>laparoscoptomy

>hysterectomy.

>I have a very big uterus and still resist hysterectomy,(I had a

>UAE,uni-lateral and had post embo

>syndrome for a year) however,I am trying to understand her position.The

>position ,in her words,

>is that she wants to be free.Freedom for some is in the challenge of the

> " fight " .The " fight is

>defined differently for eachh,as is " surrender "

>Bonnie

>

> >

> >

> > >Hi Carla,I don't know-A friend of mine has one very small sub-mucousal

> > >fibroid (3cm).It has

> > >landed her in the hospital a couple of times with uncontrolled

> > >bleeding(her hemo was at 60) This

> > >fibroid just appeared in her late 40's by the way.She's 50 now.

> > >Anyway to make a long story short after trying a couple of options she has

> > >decided on

> > >laparoscoptomy hysterectomy.I am quite sure that they have ruled out any

> > >form of pathology

> > >through other means-she's at a McGill teaching hospital.(not to say that

> > >they don't screw up,but

> > >I believe her to be in very good hands)She is having the surgery. next

> > >month and she told me its

> > >either 1 or 2 days in hospital and a very short recovery.

> > >Her surgeon is Dr.Tulandi,at the Royal in Montreal.I don't know

> > >if UAE was offered to

> > >her.

> > >Bonnie

> > >

> > > > _____________________________

> > > > NBC -- Today in New York

> > > > WNBC 12/19/00 - 6:14 AM... home and i would have to be more

> dependent on

> > > > other people helping out at home, so... >>

> > > >

> > > > Reporter: Patti parliente needed a hysterectomy but couldn't afford to

> > > > be laid up so her doctors are recommending a laparoscoppectomy. Here

> > > > they are separating the ovary from the uterus. Once the surgeons

> cut out

> > > > the uterus the question is how to remove it through the small

> holes. The

> > > > answer is a device called the morcellator. The device cuts the uterus

> > > > into small strips the surgeon can then easily pull out of the body.

> > > > Within a short time the entire uterus is gone.

> > > >

> > > > >> In the operating room there's less dissection you're required to do.

> > > >

> > > > >> Reporter: Because there's no big incision, the recovery is faster

> > > > and less painful. This woman had the procedure five weeks ago.

> > > >

> > > > >> That night after the procedure i was walking around and i was

> fine. I

> > > > went home the next day, and i would say after two, three-days i was

> > > > walking around doing things at home.

> > > >

> > > > >> Reporter: That makes having the surgery more bearable. For nbc

> news,

> > > > i'm dr. ...

> > > >

> > > >

> > > >

[Guest guest]

Was hysteroscopy offered? I was not hospitalized with uncontrolled bleeding

but had the same type and size fibroid removed that way and it changed my

cycle from 14 days to 4 right away. I understand we all respond

differently, and hers may have been placed differently from mine. I was

offered that type of hysterectomy, but only if adenomyosis was detected,

which it was not.

Re: new way to do hysterectomy....

Carla Dionne wrote:

> laparoscopectomy????? This morning on the Today show. Can't say this

> thrills me. If the disease is so dire that a hysterectomy is required,

> wouldn't it be prudent to remove the uterus in a fashion that provides

> the ability to do pathology on it? I thought morcellation prevented

> that option. Is this the gyn answer to UAE? Make a simpler

> hysterectomy that is more attractive and promote it as being less

> invasive? Carla

>

Hi Carla,I don't know-A friend of mine has one very small sub-mucousal

fibroid (3cm).It has

landed her in the hospital a couple of times with uncontrolled bleeding(her

hemo was at 60) This

fibroid just appeared in her late 40's by the way.She's 50 now.

Anyway to make a long story short after trying a couple of options she has

decided on

laparoscoptomy hysterectomy.I am quite sure that they have ruled out any

form of pathology

through other means-she's at a McGill teaching hospital.(not to say that

they don't screw up,but

I believe her to be in very good hands)She is having the surgery. next month

and she told me its

either 1 or 2 days in hospital and a very short recovery.

Her surgeon is Dr.Tulandi,at the Royal in Montreal.I don't know if

UAE was offered to

her.

Bonnie

> _____________________________

> NBC -- Today in New York

> WNBC 12/19/00 - 6:14 AM... home and i would have to be more dependent on

> other people helping out at home, so... >>

>

> Reporter: Patti parliente needed a hysterectomy but couldn't afford to

> be laid up so her doctors are recommending a laparoscoppectomy. Here

> they are separating the ovary from the uterus. Once the surgeons cut out

> the uterus the question is how to remove it through the small holes. The

> answer is a device called the morcellator. The device cuts the uterus

> into small strips the surgeon can then easily pull out of the body.

> Within a short time the entire uterus is gone.

>

> >> In the operating room there's less dissection you're required to do.

>

> >> Reporter: Because there's no big incision, the recovery is faster

> and less painful. This woman had the procedure five weeks ago.

>

> >> That night after the procedure i was walking around and i was fine. I

> went home the next day, and i would say after two, three-days i was

> walking around doing things at home.

>

> >> Reporter: That makes having the surgery more bearable. For nbc news,

> i'm dr. ...

>

>

>

[Guest guest]

Misty wrote:

> Was hysteroscopy offered? I was not hospitalized with uncontrolled bleeding

> but had the same type and size fibroid removed that way and it changed my

> cycle from 14 days to 4 right away. I understand we all respond

> differently, and hers may have been placed differently from mine. I was

> offered that type of hysterectomy, but only if adenomyosis was detected,

> which it was not.

Hi Misty,I'll have to check with her-I'll do a print-out of your letter,I'm sure

she will oblige.

From how I understand her story,the m.d.s have really been offering her options

other than

hysterectomy and it is she who wants it.In fact she was scheduled a year

ago,and two days before

the surgeon called to say he had a cancer case and would she give up her space

in surgery.

I have 2 questions 1) what do you mean the cycle has changed from 14 to 4

days.Do you mean you

have a period for 4 days instead of 14? I don't quite understand.

2)Does not progesterone work for adenomyosis?

Bonnie

>

>

> Re: new way to do hysterectomy....

>

> Carla Dionne wrote:

>

> > laparoscopectomy????? This morning on the Today show. Can't say this

> > thrills me. If the disease is so dire that a hysterectomy is required,

> > wouldn't it be prudent to remove the uterus in a fashion that provides

> > the ability to do pathology on it? I thought morcellation prevented

> > that option. Is this the gyn answer to UAE? Make a simpler

> > hysterectomy that is more attractive and promote it as being less

> > invasive? Carla

> >

>

> Hi Carla,I don't know-A friend of mine has one very small sub-mucousal

> fibroid (3cm).It has

> landed her in the hospital a couple of times with uncontrolled bleeding(her

> hemo was at 60) This

> fibroid just appeared in her late 40's by the way.She's 50 now.

> Anyway to make a long story short after trying a couple of options she has

> decided on

> laparoscoptomy hysterectomy.I am quite sure that they have ruled out any

> form of pathology

> through other means-she's at a McGill teaching hospital.(not to say that

> they don't screw up,but

> I believe her to be in very good hands)She is having the surgery. next month

> and she told me its

> either 1 or 2 days in hospital and a very short recovery.

> Her surgeon is Dr.Tulandi,at the Royal in Montreal.I don't know if

> UAE was offered to

> her.

> Bonnie

>

> > _____________________________

> > NBC -- Today in New York

> > WNBC 12/19/00 - 6:14 AM... home and i would have to be more dependent on

> > other people helping out at home, so... >>

> >

> > Reporter: Patti parliente needed a hysterectomy but couldn't afford to

> > be laid up so her doctors are recommending a laparoscoppectomy. Here

> > they are separating the ovary from the uterus. Once the surgeons cut out

> > the uterus the question is how to remove it through the small holes. The

> > answer is a device called the morcellator. The device cuts the uterus

> > into small strips the surgeon can then easily pull out of the body.

> > Within a short time the entire uterus is gone.

> >

> > >> In the operating room there's less dissection you're required to do.

> >

> > >> Reporter: Because there's no big incision, the recovery is faster

> > and less painful. This woman had the procedure five weeks ago.

> >

> > >> That night after the procedure i was walking around and i was fine. I

> > went home the next day, and i would say after two, three-days i was

> > walking around doing things at home.

> >

> > >> Reporter: That makes having the surgery more bearable. For nbc news,

> > i'm dr. ...

> >

> >

> >

[Guest guest]

Bonnie,

Yes, My period was 14 days and after surgery was 4 and light. Much better.

At the time I did research on Adenomyosis everything I read pointed to

hysterectomy being the best choice, as alternatives had not been successful.

I have seen it mentioned since that women had UAE and other alternatives

that seemed to work for them. I had not heard of the progesterone

alternative. I used that for a time years ago and reacted badly to it after

using it for awhile. It was a great help at first for PMS. Anyway, the

hysterectomy described is what my Dr had suggested. Low invasiveness is

important to me and a specialty with him. He says he had 2 week recoveries

with it.

Thanks for explaining about your friend. I understand hysterectomy is

sometimes a preferred choice when you've just had enough and it sounds like

she had. Her age is similar to mine. So I can't help being a little

concerned about return fibroids. He also left several that weren't causing

any trouble, counting on menopause to come soon. I'm 48. My mother-in-law

was 55 when she had to have a hysterectomy for fibroids and endo, like I

have. She had a number of complications, including severe surgical

menopause, and breast cancer due to the estrogen.

It is great to have all these women sharing their stories and we are all a

separate story ourselves. What works for one...or not...is a different

story for the other. I have talked to many women who swear they love their

hysterectomy, but most did have complications to work through. It sounds

like a crap shoot to me. At the moment I'm happy with my treatment.

Thanks for sharing your story.

Re: new way to do hysterectomy....

>

> Carla Dionne wrote:

>

> > laparoscopectomy????? This morning on the Today show. Can't say this

> > thrills me. If the disease is so dire that a hysterectomy is required,

> > wouldn't it be prudent to remove the uterus in a fashion that provides

> > the ability to do pathology on it? I thought morcellation prevented

> > that option. Is this the gyn answer to UAE? Make a simpler

> > hysterectomy that is more attractive and promote it as being less

> > invasive? Carla

> >

>

> Hi Carla,I don't know-A friend of mine has one very small sub-mucousal

> fibroid (3cm).It has

> landed her in the hospital a couple of times with uncontrolled

bleeding(her

> hemo was at 60) This

> fibroid just appeared in her late 40's by the way.She's 50 now.

> Anyway to make a long story short after trying a couple of options she has

> decided on

> laparoscoptomy hysterectomy.I am quite sure that they have ruled out any

> form of pathology

> through other means-she's at a McGill teaching hospital.(not to say that

> they don't screw up,but

> I believe her to be in very good hands)She is having the surgery. next

month

> and she told me its

> either 1 or 2 days in hospital and a very short recovery.

> Her surgeon is Dr.Tulandi,at the Royal in Montreal.I don't know

if

> UAE was offered to

> her.

> Bonnie

>

> > _____________________________

> > NBC -- Today in New York

> > WNBC 12/19/00 - 6:14 AM... home and i would have to be more dependent on

> > other people helping out at home, so... >>

> >

> > Reporter: Patti parliente needed a hysterectomy but couldn't afford to

> > be laid up so her doctors are recommending a laparoscoppectomy. Here

> > they are separating the ovary from the uterus. Once the surgeons cut out

> > the uterus the question is how to remove it through the small holes. The

> > answer is a device called the morcellator. The device cuts the uterus

> > into small strips the surgeon can then easily pull out of the body.

> > Within a short time the entire uterus is gone.

> >

> > >> In the operating room there's less dissection you're required to do.

> >

> > >> Reporter: Because there's no big incision, the recovery is faster

> > and less painful. This woman had the procedure five weeks ago.

> >

> > >> That night after the procedure i was walking around and i was fine. I

> > went home the next day, and i would say after two, three-days i was

> > walking around doing things at home.

> >

> > >> Reporter: That makes having the surgery more bearable. For nbc news,

> > i'm dr. ...

> >

> >

> >

[Guest guest]

UAE failed? meaning still periods and no shrinkage is that safe I had UAE

yesterday feel a tightness in stomach but hope it worke......