Obstetrics and Gynecology

Laparoscopic Assisted Vaginal Hysterectomy (LAVH)

In contrast to vaginal hysterectomy, LAVH is also called as total laparoscopic hysterectomy which has gained its importance in recent years for its added cosmetic benefits. It is performed by using the laparoscopic surgical techniques where a small incision is done through which the camera and the laparoscope is attached together for the better magnified image and the reproductive organs are removed from the connective tissues and ligaments using the surgical tools and by laser or electrocoagulation.

Although the vaginal hysterectomy is considered more, there are also disadvantages like fallopian tubes, ovaries and large uterus cannot be removed by this method where the laparoscopic gynaecological surgery comes to help.

The LAVH advantages are

  • Minimal scar at the operated site.
  • Decreased blood loss during the surgery preventing the chances of haemorrhagic shock.
  • Decreased risks of infections, which is common in vaginal hysterectomy.
  • Injury to the bladder and rectum during the vaginal hysterectomy can be reduced and prevented.

Both the vaginal hysterectomy and the LAVH are the adaptable surgeries when compared to the abdominal hysterectomy due to its reduced complications and risk factors. Although the laparoscopic gynecological surgical in India is comparatively costlier than the vaginal hysterectomy, but is more easier, less time consuming and has better cosmetic benefits which make it more acceptable and beneficial over vaginal hysterectomy.


Gynecologic Laparoscopy
laparoscopic assisted vaginal hysterectomy
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