What sutures and instruments are used in a laparoscopically assisted vaginal hysterectomy (lavh)?

That varies. The specific instruments used will depend on the training and experience of the surgeon as well as the particular requirements based on the patient's anatomy and body habitus. I usually use laparoscopic staples for the internal portion of the surgery and absorbable sutures for the vaginal portion.
Varies. There are many ways to perform an LAVH. Ports are placed through the abdominal wall to allow for cameras and instruments to be passed through. Anywhere from 1 to 4 ports may be used. Typically some form of electrocautery device is used. A variety of sutures maybe used. All of these things depend on the surgeons preference. Hope this helps.
Standard laparoscopi. Standard laparoscopic instruments plus a uterine manipulator of choice and an energy source--bipolar, harmonic, combined platforms, robotics, sils etc. I use monocryl, occasionally vicryl, and rarely v-lock.

Related Questions

What happens during a laparoscopically assisted vaginal hysterectomy lavh?

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. Read more...
Safe and efficient s. The laparoscope allows excellent visibility inside the abdomen for releasing the uterus (and ovaries as appropriate) before proceeding with the vaginal portion of the hysterectomy. Many studies show fewer complications with lavh compared to an abdominal hysterectomy or a vaginal hysterectomy. There is the additional benefit of inspecting the abdominal cavity before and after the hysterectomy. Read more...

I need to know anything and everything you can tell me about a laparoscopically assisted vaginal hysterectomy (lavh)! pre, intra and post operative?

LAVH. Many studies show that complication rates are lowest for lavh compared to any other route for hysterectomy. It is impractical to try to relate everything known about lavh here. There are many resources available - first and foremost would be your gynecologist for a full and complete discussion of lavh and other treatment options. Read more...
Big topic. . LAVH is a type of minimally invasive hysterectomy that combines laparoscopic and vaginal surgery. Their are many techniques that can be utilized. Most women will recover in about two weeks. Energy level returns more slowly. LAVH can be performed as an outpatient or a short stay. Hope this helps. . Read more...

What is laparoscopically assisted vaginal hysterectomy (lavh)?

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. Read more...
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. Read more...

What is the age range of women who have laparoscopically assisted vaginal hysterectomy (lavh) performed?

35-55. 35-55 year olds is the usual age range for women who have laparoscopically assisted vaginal hysterectomies. Read more...
Not based on age. The criteria for lavh has nothing to do with age. The surgical approach is based on the indications for the procedure and the comfort level of the surgeon. There are many post menopausal women (50-60-70) for whom the laparoscopically assisted vaginal approach is appropriate. There are also younger women who are good candidates. Read more...
Could be any age. The nice thing about an lavh is that it can usually be performed on anyone requiring a hysterectomy - regardless of age. I have performed lavh on women up to 94 years of age. There would not be a minimum age - most women are going to recover more quickly and easily from an lavh than from an abdominal hysterectomy. One great benefit is the lower complication rate compared to abdominal or vaginal. Read more...

What are risks of a laparoscopically assisted vaginal hysterectomy?

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. Read more...
Many. Infection, injury to surrounding organs including bowel burns, bleeding which can lead to transfusions, aids and hepatitis, blood clots in the legs and their consequences including pulmonary emboli, anesthesia and drug reactions to mention a few. Read more...
Same as any surgery. The risks include bleeding, infection, damage to bowel bladder and adjacent organs, pain , postoperative bleeding, failure to cure pain, scar formation, need for additional surgery. In the case of the lavh - there would be the risk of needing open abdominal surgery as well. Read more...