In this Article

• What is a hysterectomy?
• What is a laparoscope?
• What is laparoscopically assisted vaginal hysterectomy (LAVH)?
• How is LAVH performed?
• What are the disadvantages of LAVH?
• What are the advantages of LAVH?
• Laparoscopically Assisted Vaginal Hysterectomy Index

How is LAVH performed?

During LAVH, several small incisions (cuts) are made in the abdominal wall through which slender metal tubes known as "trocars" are inserted to provide passage for a laparoscope and other microsurgical tools. The laparoscope acts as a tiny telescope. A camera attached to it provides a continuous image that is magnified and projected onto a television screen for viewing.

In the course of LAVH, the uterus is detached from the ligaments that attach it to other structures in the pelvis using the laparoscopic tools. If the Fallopian tubes and ovaries are to be removed, they are also detached from their ligaments and blood supply. The organs and tissue are then removed through an incision made in the vagina.

What are the disadvantages of LAVH?

LAVH can be a longer operation and more expensive than a vaginal hysterectomy and, under certain circumstances, it can be more dangerous.

What are the advantages of LAVH?

The incisions in an LAVH are relatively small. The scars, pain, and recovery time from LAVH are usually significantly less than with an abdominal hysterectomy, which requires both a vaginal incision and a 4-6 inch (10-15 cm) long incision in the abdomen). LAVH is similarly less physically traumatic than a routine vaginal hysterectomy. When LAVH is feasible, it has distinct advantages.

Suggested Reading by Our Doctors

• Hysterectomy - Learn about hysterectomy procedures and options available for women. There are many types of hysterectomy surgeries including a total, radical, laparoscopy assisted vaginal hysterectomy, supracervical, and oophorectomy. The type of hysterectomy procedure will depend upon the reason for the procedure.
• Endometriosis - Lern about endometriosis symptoms like pelvic pain, infertility, diarrhea, constipation, lower back pain, abdominal pain, irregular or heavy menstrual bleeding, and even blood in the urine.
• Questions To Ask Before Surgery - Surgery questions to ask prior to having a procedure are important. Your surgeon should be available to answer your surgery questions prior to the procedure.

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