Saturday, 3 June 2017

Laparoscopic assisted Vaginal Hysterectomy (LAVH)

Vaginal Hysterectomy is a surgical procedure in which the uterus is removed through the vagina. In some conditions the fallopian tubes and ovaries are also removed.

The most common medical conditions for doing a hysterectomy includes the following:
  • Abnormal uterine bleeding
  • Benign fibroid tumors of the uterus
  • Genital prolapse
  • Chronic pelvic pain
  • Tumors
  • Uterine cancer which is uncommon

What is Laparoscopic assisted Vaginal Hysterectomy (LAVH)? 

LAVH is a surgical procedure which uses a laparoscope to guide the removal of the uterus through the birth canal (Vagina). Whereas the procedure called a laparoscopic hysterectomy is performed by using a laparoscope and other instruments inserted through tiny abdominal incisions and the uterus, fallopian tubes etc are removed in tiny portions.

In some cases, a laparoscopic hysterectomy may be sufficient and in other cases and abdominal hysterectomy or a vaginal hysterectomy without a laparoscopy is indicated. The surgeon determines the procedure for the patient based upon the reason for hysterectomy and the condition of the patient.

How is LAHV performed?

In this procedure of LAVH slender metal tubes so called Trocars are inserted to provide passage for a laparoscope and other micro-surgical instruments by making several small incisions in the abdominal wall . The camera which is attached to the laparoscope provides images continuously and that is projected and magnified onto a television screen for viewing.
During LAVH, the uterus, the Fallopian tubes (if to be removed) is detached from the ligaments that attach it to other structures in the pelvis using the laparoscopic tools. Then the organs and tissue are removed through an incision made in the vagina.

The advantages of LAVH includes the following:

  • The incisions in LAVH are relatively small.
  • The scars, pain and recovery time are comparatively less than with an abdominal hysterectomy
  • LAVH is less physical traumatic
  • LAVH is feasible
  • Women generally recover faster after LAVH compared with women who have abdominal hysterectomy.
Srishti Assisted Fertility and Advanced Laparoscopy Centre is one of the best centre that provides advanced Laparoscopical Vaginal Hysterectomy with the help of expert panel of gynecologists and dedicated team

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