Gastric Sleeve and hysterectomy. Is it possible for these two surgeries to be done at the same time?

Question

I am 250 lb's with hypertension, pre diabetic and slightly blood pressure. Few month ago, I found out that I hav fibroids (multiple) my Gyno recommended hysterectomy surgery but I would like to know if it's possible these two surgery can be done at the same time. Also, there is a way to have hysterectomy done without a major surgery (removal of uterus) does this type of surgery covered by insurance?

Jedediah Kaufman, MD · Answer

You've asked a complex question that is very smart to research with a gynecologist performing your hysterectomy.  Most bariatric surgeons recommend limiting the operation at that time to avoid longer times of anesthesia, and limit post operative risk.  However, which operation to do first is also a good question to ask.  Having bariatric surgery first will make the hysterectomy easier due to lower BMI and probably could be done laparoscopically.  That depends on the size of the uterus and fibroids and the urgency of the hysterctomy and if bleeding from the fibroids is an issue.  You must consult with your gynecologist to get these answers and do proper research.   I would ask about options for fibroid removal without hysterectomy-it greatly depends on number of fibroids, symptoms, and other variables that require that consultation with a doctor who performs this operation.If you go to an institution where the bariatric surgeon and gynecologist operate in the same hospital they could communicate and help you make this decision.

Pablo Garcia, MD · Answer

There is no contraindication to do both procedures in the same surgery. But it would be important that you talk to your gynecologist and express your desire to perform a gastric sleeve and consult about hysterectomy, since the amount of uterus removed will depend greatly on the amount of fibroids, their size and location, as this would lead to the decision to do them in separate surgical times.

if you are experiencing symptoms such as bleeding or unusual pelvic pain resulting from these fibroids, your priority would be to talk to your gynecologist about surgery rather than your bariatric surgeon of choice.

Gastric Sleeve and hysterectomy. Is it possible for these two surgeries to be done at the same time?

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Gastric Sleeve and hysterectomy. Is it possible for these two surgeries to be done at the same time?

Answers (2)

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Everything you need to know about Gastric Sleeve Surgery

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