GB and hysto combo

1. 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

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2. 

   About angelbear

   Joined: Dec '02; Posts: 1,055; Likes: 14

   10 Comments

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3. 
   Apr 4, '03

   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.
4. 
   Apr 4, '03

   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.
5. 
   Apr 4, '03

   I've never seen it done, but can't think of a reason why it couldn't be.
6. 
   Apr 4, '03

   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
7. 
   Apr 4, '03

   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.
8. 
   Apr 4, '03

   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
9. 
   Apr 4, '03

   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.
10. 
    Apr 4, '03

    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.
11. 
    Apr 4, '03

    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.
12. 
    Apr 5, '03

    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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