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A 39-year-old member asked:

What is laparoscopically assisted vaginal hysterectomy (lavh)?

2 doctor answers2 doctors weighed in
Dr. Bryan Treacy
Gynecology 35 years experience
Surgery: A lavh is method of hysterectomy where most of the procedure is done with the aid of laparoscopic surgery. The surgeon then converts to a vaginal approach to complete the surgery and remove the uterus and cervix.
Dr. Dennis Higginbotham
Obstetrics and Gynecology 30 years experience
Common: For an lavh, the laparoscope is used to allow the surgeon to free up the uterus from inside before completing the hysterectomy vaginally. Many surgeons are now using the da vinci robot to complete the surgery completely laparoscopically.

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A 36-year-old member asked:

What happens during a laparoscopically assisted vaginal hysterectomy lavh?

2 doctor answers3 doctors weighed in
Dr. David Doucette
Obstetrics and Gynecology 39 years experience
Remove uterus: The uterus is visualized through a telescope placed in the abdomen and it's attachments are severed through the laparoscope. Then the remainder of the surgery is completed by detaching remaining uterine connections through the vagina. The back of the vagina is repaired and then one looks back through the laparoscope to make sure that there is no excessive bleeding.
A 33-year-old member asked:

What are risks of a laparoscopically assisted vaginal hysterectomy?

3 doctor answers6 doctors weighed in
Dr. David Doucette
Obstetrics and Gynecology 39 years experience
Several possible: Complications occur a a low rate. They include excessive bleeding, infection, pain, and injury to structures like bowel, bladder, and blood vessels as the most common. Some complications may require additional or subsequent surgery or prolonged catheterization. There are also rare anesthetic complications that can occur as well as deep vein blood clots.

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Last updated Aug 21, 2020

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