Pre hysterectomy procedure

  • 7 replies
  • 83 subscribers
  • 795 views

Hi lovely ladies 

seen by the Gynea-oncology surgeon this morning. Prior to doing a hysterectomy he wants to get a better look at things in my womb and surrounding. It will be done laparoscopically under general anaesthesia as a day patient. I know there is always risk with GA though it’s clear that my breathing has improved now an extra 6  weeks on top of the 2 months post Covid. 

I have a faulty gene - Lynch syndrome- and it could be that all my female relatives may be screened too. I had disclosed about my mum’s cancer so knew that this was a possibility. 

uncertain if this kind of pre-hysterectomy surgery is routinely done. 

i was also surprised that doing nothing was also an option. Just treat the symptoms… though maybe one that they are obligated to mention as some might prefer to avoid surgery etc 

so I am now waiting on pre-op assessment for this procedure. 

  • Hi  I was just about to ask 'do you mean hysteroscopy?' but have just looked through your past post activity and see you've already had a hysteroscopy! Confused about this. What would be the difference? 

  • This is going to be a laparoscopic investigation through my tummy rather than the hysteroscopy. He wants to look at the surrounding stuff like lymph nodes and bowel. 

  • Hopefully I can bump this up again for someone more knowledgable than me. I've not heard of that being done. But to be honest, I would have found it very helpful in my decision making before hysterectomy, as I had to sign on the dotted line whether to remove ovaries or not before I had to go under. Might give you a better idea of what they're looking at and seems like they are being very thorough - maybe it's to do with the Lynch?

  • It could well be. From talking to my assigned nurse it seems like it is mainly to ascertain whether my bowel is involved as that would require a different approach. You are right though I think that he is being cautious and better to subject me to a small procedure rather than going in and then needing something more extensive. It likely is the Lynch too. My consultant seems a quiet very thorough person who talks straight. I like that as the more I know the better decisions I can make.

    I do feel that it is best to know though I can understand why some people might not want to hear. Quality of life is important to me. 

  • I think that sounds very valid. That way, if they have clear images they can also get feedback from a gastro consultant if they feel they need it. I am exactly the same, I always like to know the facts so I can make the best decision. My anxiety always comes from not nothing something. You could also be given a lot more confidence going in for hysterectomy if you know there are certain things you DON'T have to worry about. I hope it goes really well and will be interesting to hear about this approach. 

  • Just to update that this laparoscopic exploratory surgery is scheduled for next week. I understand that the surgeon wants to ensure that given my Lynch Syndrome that my bowel is okay. Bit nerve wracking but I am eager to get a treatment plan 

  • I reckon you'll know the basic details of that verbally quite soon after op if they're looking visually. They'll probably do the rounds on the ward. I know I had verbal confirmation re: state of my ovaries immediately after surgery when I was still pretty dozy. Hopefully that's one positive you can take so you know where you stand. All the best for your op next week and let us know how it goes!