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.
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.