Uterus1: When is it best to choose a hysterectomy?
Dr. Bruce Kahn: Vaginal hysterectomy is still very useful when pelvic organs have “dropped” due to previous childbirth. Sometimes vaginal hysterectomy can be completed even when there is not much “dropping” of the utereus. In this circumstance, laparoscopic techniques do not provide any advantage. Abdominal hysterectomy is still necessary when there is a significant risk or concern for cancer, or often when no “dropping” has occurred. Laparopscopic techniques are advantageous when previously an abdominal incision would have been necessary. Since 2/3 to 3/4 of all hysterectomies currently performed in the U.S. are done using an abdominal technique, there are a lot of women who could benefit with the shorter recovery provided via laparoscopy.
Dr. Bruce Kahn: Vaginal hysterectomy is still very useful when pelvic organs have “dropped” due to previous childbirth. Sometimes vaginal hysterectomy can be completed even when there is not much “dropping” of the utereus. In this circumstance, laparoscopic techniques do not provide any advantage. Abdominal hysterectomy is still necessary when there is a significant risk or concern for cancer, or often when no “dropping” has occurred. Laparopscopic techniques are advantageous when previously an abdominal incision would have been necessary. Since 2/3 to 3/4 of all hysterectomies currently performed in the U.S. are done using an abdominal technique, there are a lot of women who could benefit with the shorter recovery provided via laparoscopy.
Dr. Bruce Kahn
Dr. Bruce Kahn is a member of the Department of Obstetrics and Gynecology at Scripps Clinic in La Jolla, CA. Dr. Kahn completed a medical internship at St. Joseph's Hospital in Chicago, IL. He completed his residency training at Cedars-Sinai Medical Center in Los Angeles, CA and Abington Memorial Hospital near Philadelphia, PA. Following his residency, Dr. Kahn was commissioned as a Lieutenant Commander in the United States Naval Reserve. He served on active duty as a staff physician at the Naval Medical Center in San Diego. He joined the Scripps Clinic in 1999 and has pioneered work in the department and the region on the technique of laparoscopic hysterectomy. Dr. Kahn spends his free time with his wife and two children.
Dr. Bruce Kahn
Dr. Bruce Kahn is a member of the Department of Obstetrics and Gynecology at Scripps Clinic in La Jolla, CA. Dr. Kahn completed a medical internship at St. Joseph's Hospital in Chicago, IL. He completed his residency training at Cedars-Sinai Medical Center in Los Angeles, CA and Abington Memorial Hospital near Philadelphia, PA. Following his residency, Dr. Kahn was commissioned as a Lieutenant Commander in the United States Naval Reserve. He served on active duty as a staff physician at the Naval Medical Center in San Diego. He joined the Scripps Clinic in 1999 and has pioneered work in the department and the region on the technique of laparoscopic hysterectomy. Dr. Kahn spends his free time with his wife and two children.
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