The criteria studied were length of the procedure, blood loss, complication rate, uterus weight, rate of conversions, consumption of analgesics, inflammatory response. There was no difference in inflammatory response and use of antibiotics. Consumption of analgesics was higher in the TLH group.
Study record managers: refer to the Data Element Definitions if submitting registration or results information. Study duration : the study will be carried out during the period from August to August Sample size: total of 50 cases will be included in the study to be divided into two groups, the first group will undergo vaginal hysterectomy and the second will undergo Laparoscopic assisted vaginal hysterectomy.
Click here to return to Hysterectomy Procedures. What is a vaginal hysterectomy assisted with laparoscopy and a bilateral salpingo oophorectomy? A vaginal hysterectomy is surgery to remove the uterus through the vagina.
Sometimes, medicines and other medical procedures are not enough to relieve chronic pelvic pain. When nothing else helps, you may need a hysterectomy, which is the surgical removal of the uterus. Main Line Health offers laparoscopic assisted vaginal hysterectomy LAVH as a minimally invasive approach to removing the uterus. Traditional hysterectomy involves an incision in the abdomen to remove the uterus, and vaginal hysterectomy involves removing the uterus through the vagina.
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Cardosi is clinical assistant professor at the University of Florida at Pensacola. Hoffman is professor and division and fellowship program director in the division of gynecologic oncology at the University of South Florida College of Medicine in Tampa. Once a hysterectomy is indicated for the treatment of gynecologic disease, the surgeon must determine the safest and most efficient route—abdominal, vaginal, or laparoscopic-assisted vaginal.
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What is a laparoscopically assisted vaginal hysterectomy LAVH? A vaginal hysterectomy is surgery to remove the uterus through the vagina. It is a way to take the uterus out through a cut in the vagina instead of a cut in your belly.
Laparoscopic-assisted vaginal hysterectomy uses a laparoscope, a thin viewing tube to see inside the abdomen. Certain conditions are successfully treated with this type of hysterectomy because it allows the upper abdomen to be carefully inspected during surgery. Examples of conditions appropriate for this technique include:.
Hysterectomy is one of the most commonly performed major operations. The vaginal operation is preferable when there are no contraindications because of lower morbidity and quicker recovery. Since it was first reported by Reich et al in 5 laparoscopically assisted vaginal hysterectomy LAVH has gained widespread acceptance. Laparoscopic dissection of the para-uterine tissues to the level of the uterine arteries LAVH or to include the uterine arteries laparoscopic hysterectomyalso permits oophorectomy or dissection of adhesions under direct vision more easily than this can be achieved at vaginal hysterectomy VH.