Laparoscopic Assisted Vaginal Hysterectomy
A Laparoscopic Assisted Vaginal Hysterectomy (LAVH) is a combined laparoscopic and Hidden Scar approach to hysterectomy where the surgeon can perform a total or radical hysterectomy. This approach is recommended when the surgeon cannot perform the entire procedure through the vagina. Therefore, there will be a laparoscopic portion of the procedure, where a scope, camera, and other surgical instruments are inserted through several incisions around the abdomen. And, there will be a Hidden Scar part of the procedure where the cervix and uterus is removed through the vagina.
Your surgeon may also remove your fallopian tubes and/or ovaries at the same time. These may be removed either using the laparoscope or Hidden Scar approach. Additionally, if you have pelvic organ prolapse, your surgeon can fix your prolapse at the same time. Sometimes, even if you do not have pelvic organ prolapse, your surgeon can perform risk-reducing surgery to prevent a prolapse in the future. You will have a Hidden Scar.
Risk of Laparoscopic Assisted Vaginal Hysterectomy (LAVH)
A Laparoscopic Assisted Vaginal Hysterectomy (LAVH) is not always possible if:
- Your uterus is very large
- Your vagina is very narrow
- You have a cancer diagnosis of the uterus or cervix and the cancer may have spread to surrounding organs
- Chen et al. Comparison of vaginal and abdominal hysterectomy: A prospective non-randomized trial. Pak J Med Sci 2014. Vol. 30. No. 4