LAVH / NDVH
Laproscopic 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 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 provide 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 tunes and ovaries detached from the ligaments that attached to other pelvic structures by laproscopic 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 abdominal or vaginal hysterectomy.
Non Descent Vaginal Hysterectomy(NDVH)is removal of uterus through vagina in non-proplased uterus. There are no abdominal ports and no laproscopy used. Uterus tubes and ovaries all removed through vagina. This is call No Scar Hysterctomy.
In our hospital 99% of time we use LAVH or NDVH.