Laparoscopically Assisted Vaginal Hysterectomy (LAVH) is a procedure using laparoscopic surgical techniques and instruments to remove the uterus (womb) and/or tubes and ovaries through the vagina (birth canal). The most common medical reasons for performing hysterectomies include
- uterine fibroids (30 percent of cases)
- abnormal uterine bleeding (20 percent)
- endometriosis (20 percent), which is a disorder in which the inner lining of the uterus grows outside of the uterine cavity, causing pain and bleeding
- adenomyosis, which is the condition in which the inner lining of the uterus grows into the muscles of the uterus.
- genital prolapse (15 percent)
- chronic pelvic pain (about 10 percent)
- uncontrollable vaginal bleeding
- cancer or cervix, uterus or ovaries
- patients with displaced copper T
- Pelvic inflammatory disease, which is serious infections of female reproductive organ
What are the benefits?
Potential to convert what would have been an abdominal hysterectomy ( requires both vaginal incision and a four to six-inch incision in the abdomen) into a vaginal hysterectomy
- Less post-operative discomfort
- A shorter recovery period than for a vaginal procedure.
- Tubes and ovaries can be removed which on occasion may not be easily removed with a vaginal hysterectomy.
- Short stay
- Fewer scars
What are the TYPES OF HYSTERECTOMY?
There are various types of hysterectomy. The type you have depends on why you need the operation and how much of your womb and surrounding reproductive system can safely be left in place.
The main types of hysterectomy are:
• Total hysterectomy – the womb and cervix (neck of the womb) are removed; this is the most commonly performed operation
• Subtotal hysterectomy – the main body of the womb is removed, leaving the cervix in place.
• Total hysterectomy with bilateral salpingo-oophorectomy – the womb, cervix, fallopian tubes (salpingectomy) and the ovaries (oophorectomy) is removed.
• Radical hysterectomy – the womb and surrounding tissues are removed, including the fallopian tubes, part of the vagina, ovaries, lymph glands and fatty tissue.
How is it performed?
There are three ways to carry out a hysterectomy:
• Vaginal hysterectomy – where the womb is removed through a cut in the top of the vagina
• Abdominal hysterectomy – where the womb is removed through a cut in the lower abdomen
• Laparoscopic hysterectomy (keyhole surgery) – where the womb is removed through several small cuts in the abdomen
What our EXPERTS SPEAK ABOUT THE PROCEDURE – HYSTERECTOMY
A hysterectomy is a surgical procedure to remove the womb (uterus). You will no longer be able to get pregnant after the operation. If you haven’t already gone through the menopause, you will also no longer have periods, regardless of your age. The menopause is when a woman’s monthly periods stop, usually at around the age of 52.
WHY NEED A HYSTERECTOMY?
Hysterectomies are carried out to treat conditions that affect the female reproductive system, including:
• heavy periods (menorrhagia)
• long-term pelvic pain
• non-cancerous tumours (fibroids)
• ovarian cancer, uterine cancer, cervical cancer or cancer of the fallopian tube
A hysterectomy is a major operation with a long recovery time and is only considered after alternative, less invasive, treatments have been tried
THINGS TO CONSIDER
1. If you have a hysterectomy, as well as having your womb removed, you may have to decide whether to also have your cervix or ovaries removed.
2. Your decision will usually be based on your personal feelings, medical history and any recommendations your doctor may have.
3. You should be aware of the different types of hysterectomy and their implications.
RECOVERING FROM A HYSTERECTOMY
A hysterectomy is a major operation. You can be in the hospital for up to five days following surgery, and it takes about six to eight weeks to fully recover. Recovery times can also vary depending on the type of hysterectomy.
Rest as much as possible during this time and don’t lift anything heavy, such as bags of shopping. You need time for your abdominal muscles and tissues to heal.