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.

Benefits of Laparoscopic Assisted Vaginal Hysterectomy (LAVH)

Laparoscopic Assisted Vaginal Hysterectomy (LAVH) will be recommended when a Hidden Scar approach is not possible.  There are several reasons a Laparoscopic Assisted Vaginal Hysterectomy (LAVH) may be considered:

  • Adhesions or scar tissue in the abdomen may prevent the surgery from being done completely through the vagina. As a result, the surgeon will perform part of the procedure using the laparoscope
  • When the fallopian tubes and the ovaries cannot be removed, if needed, through the vagina
  • Surgery to fix or prevent Pelvic Organ Prolapse can be performed at the same time, without a separate incision or surgery
  • The incision for the prolapse procedure and uterus removal is a Hidden Scar
  • Less complications than laparoscopic hysterectomy alone¹

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

Preparing for Hysterectomy

To best prepare for hysterectomy, you should do a lot of research to determine which treatment is right for you. Learn more.

Recovery from Hysterectomy

It’s important to prepare for your hysterectomy recovery. Learn more.

Life after Hysterectomy

Many women wonder what life will be like or after hysterectomy surgery. Learn more.

References

  1. Chen et al. Comparison of vaginal and abdominal hysterectomy: A prospective non-randomized trial. Pak J Med Sci 2014. Vol. 30. No. 4

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