Laparoscopically Assisted Vaginal Hysterectomy
Laparoscopically assisted vaginal Hysterectomy (LAVH) is a surgical procedure in which laparoscope is used to guide the removal of uterus and/or fallopian tubes and ovaries through the vagina (vagina canal). On a contrary the abdominal laparoscopy hysterectomy is entirely performed using laparoscope and other instruments that are inserted through small abdominal incisions. The uterus, fallopian tubes are then removed in tiny portions.
How LAVH is performed?
During LAVH procedure, several small incisions are made in the abdominal wall by which slender metal tubes (known as trocars) are inserted to provide passage to a laparoscope and other microsurgical tools. The laparoscope works as a tiny telescope. A camera is also attached to it that allows surgeon to view magnified image inside area on the projected computer screen. The uterus is then detached from the ligaments that attach it to other structures in the pelvis using the laparoscopic tools. In case the fallopian tubes and ovaries are to be removed, they are also detached from the ligaments and blood supply. After that the organs and tissues are removed through an incision made in the vagina.
Why LAVH necessary?
Women undergo LAVH to treat range of conditions such as heavy periods, fibroids, prolapse endometriosis and cancer. It is usually considered when other medical or less invasive surgical treatments failed or contra-indicated
Advantages of LAVH
LAVH causes lesser trauma to the body and renders several advantages that include:
- The incisions in LAVH are relatively very small.
- Minimize scarring
- Lesser Pain
- Quicker healing and recovery time
- It requires shorter stay in hospital
Risk and complication of LAVH
LAVH is considered completely safe procedure, however as with all surgery, it also involves some risk. In addition to the usual risks with any operation such as bleeding and infection, there may be risk of damage to internal organs such as vaginal problem, bladder, bowel and ureter. Other complications are pertinent to use of anesthesia and side effects such as nausea, vomiting, dizziness and headache. The risk is very low and usually identified during the surgery and corrected with no long term complications.
Post recovery advice
In order to recover fully and comparatively in shorter period the doctors recommend to complete rest as much as possible. Do not lift heavy weights and do strenuous exercise for 2-4 weeks. You may start gently when you feel comfortable. Refrain from penetrative sex for at least six weeks as the internal wound takes time to heal.