Laparoscopic Hysterectomy – An Introduction

Keith Reisler, MD, has cared for patients as an obstetrician and gynecologist (OBGYN) for more than 30 years. Experienced in laparoscopic hysterectomy and other minimally invasive procedures, Dr. Keith Reisler shared his knowledge of such therapies in an interview with the Wall Street Journal.

Traditionally, hysterectomy has involved removal of the uterus through an abdominal incision of 6 to 12 inches in length. It is a major abdominal surgery and requires approximately six weeks of recovery time. Recently, however, advancements in medical technology have allowed some surgeons to perform the procedure laparoscopically.

The laparoscopic-assisted vaginal hysterectomy, or LVAH, has now been an option for patients for more than 25 years. It involves the use of a thin surgical tube that allows surgeons to perform part of the procedure intra-abdominally, but with fewer and smaller incisions, while the remainder of the procedure takes place through the vaginal canal. The total laparoscopic hysterectomy, though similar in its use of the laparoscope, is performed entirely intra-abdominally while only the tissue removal takes place transvaginally.

Experts advise patients who may be candidates for laparoscopic hysterectomy to consult with an experienced physician. The procedure is both sensitive and delicate and, as such, requires a skilled hand.

Playing Tennis in the Heat

An accomplished physician with many years of experience in the field of obstetrics and gynecology, Dr. Keith Reisler currently owns and operates his own practice in Plano, Texas. Aside from his work as an OB/GYN, Keith Reisler, MD, has enjoying coaching and playing tennis with his daughters. His twin daughters are now on their way to play college tennis.

In hot climates such as that of Texas, it is important to bring the proper equipment to a tennis match and follow simple health guidelines. First and foremost, you must stay hydrated. Drink plenty of fluids throughout the day, and be sure to take frequent water breaks throughout your tennis session. You may also consider adding some salt to your diet, which can ward off cramps.

Pre-match meals should be high in carbohydrates, moderate in protein and low in fat. Examples are pasta, bread, fresh fruit, granola bars, energy bars and sports drinks. Pre-match meals should be eaten 3-4 hours prior to competition and pre-game snacks 1-2 hours prior. It is important to consume 17 to 20 oz of fluid within 2 hours pre-match and avoid caffeinated beverages especially right before and after match play. Waiting to consume fluid until you fell thirsty during match play is too late.

In terms of equipment, light-colored clothing made of a breathable material can have a significant impact on body temperature. If you tend to sweat a lot, bring an extra shirt for when your first shirt becomes saturated in sweat. Many tennis players also choose to wear a hat or visor, which keeps their head cool and prevents sunburn.