LAVH / NDVH
Laparoscopic Assisted Vaginal Hysterectomy, a procedure using laparoscopic techniques to remove the uterus(womb) and or tubes and ovaries through the vagina(birth canal)
In LAVH, three small incisions(cuts) are made in the abdominal wall through which slender metal tubes are known as “trocars” are inserted to provide passage for a laparoscope and other microsurgical tools. The laparoscope is essentially a tiny telescope, a camera attached to it provides a continuous image that is magnified and projected onto a television screen which the surgeon during the operation.
In the course of LAVH, the uterus tubes and ovaries detached from the ligaments that attached to other pelvic structures by laparoscopic tools. Then whatever is to removed is taken out through an incision made in the vagina.
Since the incisions are small, the scarring, pain, and hospital stay, recovery time from LAVH are usually very less the patient can go home within 3 days.
Not all hysterectomies can be done by LAVH. There are certain conditions that necessitate an abdominal or vaginal hysterectomy.
Non-Descent Vaginal Hysterectomy(NDVH)is the removal of the uterus through the vagina in the non-proposed uterus. There are no abdominal ports and no laparoscopy used. Uterus tubes and ovaries all removed through the vagina. This is called No Scar Hysterectomy.
In our hospital 99% of time, we use LAVH or NDVH.