Approximately 700,000 women have the LAVH procedure for these conditions:
- Central Chronic Pelvic Pain/Adhesions
- Heavy Vaginal Bleeding (Periods)
- Pelvic Prolapse
Primary reasons for performing a hysterectomy and their frequency include:
- chronic pelvic pain 10%
- benign fibroid tumors of the uterus 30%
- endometriosis 20%,
- genital prolapse 15%,
- abnormal uterine bleeding 20%
What are the advantages of LAVH?
- Minimal Abdominal Incisions (< 1.2 cm)
- Access To Advanced Pelvic Reconstruction
- Reduced Hospitalization (< 24 hours)
- Faster Post Operative Recovery
- Reduced Post Operative Pain
- Fewer Adhesions
- Reduced Post Operative Infections
Because the incisions are significantly smaller and the pain, scars and recovery time are noticeably reduced than they are with an abdominal hysterectomy, it is much less physical trauma for the patient. The abdominal hysterectomy requires incisions in the vagina and a 4-6 inch incision in the abdomen. These characteristics make the LAVH a preferred procedure when it is feasible.
Laparoscopic Supracervical Hysterectomy (LSH) is a type of hysterectomy that allows the woman to retain her cervix while taking out the part of the uterus that causes the painful periods and heavy vaginal bleeding. Some women feel that their cervix helps to maintain their sexual function and provides pelvic organ support. Our doctors can accommodate this request by performing an Laparoscopic Supracervical Hysterectomy (LSH).
The indications for an Laparoscopic Supracervical Hysterectomy (LSH) are the same as for those undergoing an Laparoscopic Assisted Vaginal Hysterectomy (LAVH) with the patient's desire to retain the cervix. If there are signs and symptoms of pelvic organ prolapse or urinary incontinence.
How is LAVH performed?
LAVH involves the use of a small, telescope-like device called a laparoscope. The laparoscope is inserted into the abdomen through a small cut. It brings light into the abdomen so that your doctor can see inside. He or she views the pelvic organs on a special TV-like screen.
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.
Laparoscopically-assisted vaginal hysterectomy allows your doctor to view your pelvis and to remove your uterus vaginally when it otherwise would require a large abdominal incision. The surgeon makes a small incision near your navel to insert a thin device (laparoscope) that allows the surgical team to see inside your abdomen. Through other tiny incisions, your surgeon uses special surgical instruments to detach the uterus and then remove it through your vagina.