Laparoscopic Assisted Vaginal Hysterectomy

Abstract

LaparoscopicAssisted Vaginal Hysterectomy (LAVH) is the latest advancement in gynecological surgery. It is proving to be a viable alternative to abdominal hysterectomy.

Dr. J. Ameja and Dr. C. M. Shah have been doing LAVH since 1992. After completing 50 cases, a review of clinical experiences was undertaken. Indications for doing the procedures are almost identical, with fibroids being the most common indicator.
A list of instruments required for doing LAVH, along with a diagram of the room set—up are included to help those nurses who are in the preliminary stages of doing LAVH.
The procedure is described at length, beginning with positioning, prepping, and draping of the patient.

A telephone audit with 25 patients who had a LAVH or Abdominal Hysterectomy is also reported.

Complications, benefits, restrictions, and a cost comparison are discussed, including charts to show our results. The article concludes with an overview of the postoperative management of patients having LAVH.