Laparoscopic Vaginal Hysteroscopy

Laparoscopic Vaginal Hysteroscopy

by Neelam Chhagani

Laparoscopically assisted vaginal hysterectomy (LAVH) is a surgical procedure using a laparoscope to guide the removal of the uterus and/or Fallopian tubes and ovaries through the vagina. A different procedure, called a laparoscopic hysterectomy, is entirely performed using a laparoscope and other instruments inserted through tiny abdominal incisions, and the uterus and fallopian tubes are removed.

Laparoscopically Vaginal Hysterectomy (LAVH) is used to treat certain problems of the uterus. LAVH combines laparoscopy and hysterectomy. Laparoscopy is used to look into the abdomen and the reproductive organs. Hysterectomy is surgery to remove the uterus (womb) and in some conditions, fallopian tubes and ovaries are also removed.

The most common medical reasons for doing a hysterectomy-

  • To remove benign fibroids
  • To remove tumors of the uterus
  • To stop abnormal uterine bleeding
  • To stop endometriosis
  • To cure genital prolapse
  • For treatment of chronic pelvic pain
  • To remove uterine cancer

What is a laparoscope?

A laparoscope is a thin tube through which structures within the abdomen and pelvis can be seen. A small surgical incision is made in the abdominal wall so that to insert the laparoscope to enter the abdomen or pelvis. Additional tubes can also be pushed through the same or other small incisions allowing the introduction of probes and other instruments. In this way, surgical procedures can be performed without the need for a large surgical incision.

Not all hysterectomies can or should be done by LAVH. In certain situations, a laparoscopic hysterectomy may be sufficient. In other cases, an abdominal hysterectomy or a vaginal hysterectomy (without laparoscopy) is indicated. The surgeon determines the appropriate procedure for each individual case based upon the reason for the hysterectomy and the medical history and condition of the patient.