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Wiki Hysterectomy Op-Report 58571 vs. 58552
- Thread starter domonique
- Start date
Above is an excellent article from ACOG explaining total laparoscopic vs laparoscopic assisted hysterectomy.
In almost all situations, the specimens are removed through the vagina, as a morcellator is rarely (if ever) used during hysterectomies anymore. I haven't seen it in years. Simply removing the specimen per vagina does not necessarily make it laparoscopic assisted vaginal hysterectomy. It matters how the ligaments and uterus/cervix are detached. In your op note, it appears the colpotomy was done, and the uterosacral ligaments were transected through the vagina, not through the laparoscopic ports. That would lead me to 58552.
I would note with 2 large fibroids, I would await pathology to see if you are >250gms and possibly 58554.
In almost all situations, the specimens are removed through the vagina, as a morcellator is rarely (if ever) used during hysterectomies anymore. I haven't seen it in years. Simply removing the specimen per vagina does not necessarily make it laparoscopic assisted vaginal hysterectomy. It matters how the ligaments and uterus/cervix are detached. In your op note, it appears the colpotomy was done, and the uterosacral ligaments were transected through the vagina, not through the laparoscopic ports. That would lead me to 58552.
I would note with 2 large fibroids, I would await pathology to see if you are >250gms and possibly 58554.
I agree it certainly wouldn't hurt to query, but based on the way my providers document, I'm reading this that uterosacral ligaments were detached vaginally, and cuff was sutured vaginally. That leads me to 58552. If I am reading this wrong and all ligaments were detached via laparoscope, then 58571.