GB and hysto combo

Nurses General Nursing

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Ok I dont mean to sound like a total idiot but I have a question. Can one have GB removed in the same surgery as a total hysterectomy? I need both and dont want to have to take leave at work both times. Thanks

I have never heard of having it done like that, but why not. Should be one heck of a recovery. I have had a GB and a hysto, but not at the same time. I know it was rough, but I cannot imagine having both at once. If you do, good luck.

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

Well I imagine it is possible to do both at the same time, sure ,but as a GYN nurse, I have never seen it. Ask your surgeon if this can be done for the reasons you state. Good luck to you.

Specializes in Med/Surg, ER, L&D, ICU, OR, Educator.

I've never seen it done, but can't think of a reason why it couldn't be.

I've heard of it done with a hysterectomy and an appendix. My friend had it done and she had no problems. I don't know if that helps but just adding 2 cents.

Keely

Specializes in ORTHOPAEDICS-CERTIFIED SINCE 89.

Oh that would be awesome!! It would have saved me from 4 extra operations. First I had appy, then 4 yrs later hx, then 2 years later left oopharectomy, then 2 years later rt oopharectomy, then GB 4 years later....... WOW and only my GB was 'scoped.....just think.

I have seen many 2 for 1 procedures in my years as an OR nurse. I imagine much depends upon how your insurance will pay and whether or not your Gyn and General surgeon can coordinate their schedules.

Just a thought here, had you considered the size scar you may have as a result of these 2 procedures? Most Cholecystectomies are done via laparoscope; your hyst may also be done this way but much depends upon your anatomy/pathology. If the dual procedure is done as an open Chole / Abd. Hyst I would think the incision needs to be long enough to allow exposure of the right upper quadrant as well as the pelvic cavity.

Good luck !

Paula

Specializes in NICU.

I know a nurse who did just that. She had the hysty done first, by her gyn, then the lap chole by a general surgeon. Unfortunately anything that could go wrong, did!

She had internal bleeding, and reactions to meds, ended up in the ICU, and had to be transfused. She was a very sick woman.

I'm sure this happened to be an unusual case......but it is possible to do these two surgeries in one visit. I think you need cooperative docs.

I did neglect to tell you that I did have serious problems with the hysto. I am overweight and had problems with healing. I got an infection with the hysto and had to external stitches removed. I shudder to think how bad it would have been if I had had both of them.

Originally posted by Keely-FutureRN

I've heard of it done with a hysterectomy and an appendix. My friend had it done and she had no problems. I don't know if that helps but just adding 2 cents. Keely

My GYN offered to take my appendix out while he was in there doing the hyst, apparently is fairly routine to do it. Was a good thing he offered...my appendix was inflammed & full of puss, the guy in the path lab guessed I would have presented with sx within 48 hours.

I can't think of a reason why not (I don't to surgery unless I am the one on the table)...especially if the could do a scope chole first then an open hyst. I don't know that the recovery would be any worse, I had my hyst then 4 months later the chole. I have never had pain like my hyst, the scoped chole was about #8 on my "bad things" list (I've had my back done X5). I think I would have wanted it over with all at once.

Thanks for all your replies. I plan to investigate it. I would rather not have surgery at all but if I have to I would like to have both done and over with all at once. Thanks again.

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