What is a hysterectomy and And why it applies
A hysterectomy is the removal of the uterus (womb). the Fallopian tubes and ovaries are also removed. The most common medical reasons for doing a hysterectomy are benign fibroid tumors of the uterus, abnormal uterine bleeding, endometriosis, genital prolapse, and chronic pelvic pain. Some women choose to have a hysterectomy for other reasons, including other types of tumors. Uterine cancer is an uncommon, but important reason for doing a hysterectomy.
What is laparoscopically assisted vaginal hysterectomy (LAVH)
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 (birth canal). Not all hysterectomies can or should be done by LAVH. In certain situations, 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.
How is LAVH performed
During LAVH, several small incisions (cuts) are made in the abdominal wall through which slender metal tubes known as “trocars” are inserted to provide passage for a laparoscope and other microsurgical tools.
In the course of LAVH, the uterus is detached from the ligaments that attach it to other structures in the pelvis using the laparoscopic tools. If the Fallopian tubes and ovaries are to be removed, they are also detached from their ligaments and blood supply. The organs and tissue are then removed through an incision made in the vagina.
What are the advantages of LAVH
The incisions in an LAVH are relatively small. The scars, pain, and recovery time from LAVH are usually significantly less than with an abdominal hysterectomy, which requires a long incision in the abdomen 4-6 inch (10-15 cm). LAVH is similarly less physically traumatic than a routine vaginal hysterectomy.