Laparoscopic vaginal hysterectomy--how is it done technically?

Difficult: This is a difficult one to put into a message, but typically you place 2 to 3 laparoscopic prots, then you ligate and divide the round ligament. Take down the bladder flap surgically. Then separate the ovaries from the uterus. Continue ligating and dividing down to the level of the uterosacral ligaments. Then proceed vaginally. Enter into the anterior and poste. That's all i get for one msg.

Specialized surgery: Laparoscopic vaginal hysterectomy (lavh) is one hysterectomy technique. A video camera is inserted into the abdomen along with other small ports. Through these small incisions the dissection is done down to the level of the cervix. The rest of the surgery is done vaginally with the uterus removed from below. The very back of the vagina is the sutured closed to complete the case.

Varies: Different surgeons use different instruments to perform the same surgery. For hysterectomy alone, the uterus is separated from its attachments and blood supply with staples, electro-cautery, sonic scalpels, and / or sutures. Once free it is removed through the vagina or morcellated and removed through the small laparoscope incisions.