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LAVH vs. Vaginal hysterectomy LAVH vs. Vaginal hysterectomy

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  #1  
Unread 09-15-2011, 10:49 AM
LAVH vs. Vaginal hysterectomy

Can any one explain why a laproscope is used? I am having a vaginal hysterectomy, have no ovaries, and am wondering why my MD says that a laproscope won't help her do the surgery. I'm not really clear what part of the surgery a laproscope would do.
Answers please?
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  #2  
Unread 09-15-2011, 07:36 PM
Re: LAVH vs. Vaginal hysterectomy

Per my GYN, the laparoscope helps them see what they are doing in there, as opposed to the TVH where they really have very little view. I consented to an LAVH but they could see and move my uterus well enough for just a TVH, is what I was told. Exactly how they determine that, I don't know.
  #3  
Unread 09-15-2011, 08:47 PM
Re: LAVH vs. Vaginal hysterectomy



If you are having a straight forward hysterectomy and there is no endometriosis or adhesions or other concerns outside the uterus, then your doctor may not need a laparoscope to do the surgery. The LAVH would also add incisions in your abdomen that you won't have with the TVH.

If you click on Hysterectomy Options in the purple bar at the top of your screen, you will be taken to pages that give details about each hysterectomy type. Reading those might be helpful for you.

S
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  #4  
Unread 09-16-2011, 07:00 AM
Re: LAVH vs. Vaginal hysterectomy

Thanks for the info. I kind of thought that was what the purpose was. It's amazing to me that they can see enough just doing the vaginal hysterectomy, especially since I am also having a vaginal vault resuspension without mesh, but she said for that they can actually get at the ligaments better vaginally because of the location. I will ask about the laproscope piece and when/if it might be indicated. I'm sure that there will be a part that says that she can do that or an open hysterectomy if there are unexpected things. When I had laproscopic surgery for my oophorectomy, it was really nothing. I had very little pain after. I suspect this will be different as she is actually doing something other than removing things....sigh. Oh well. I will be glad when it's over.
  #5  
Unread 09-16-2011, 07:42 AM
Re: LAVH vs. Vaginal hysterectomy

I had a LAVH because I had a large fibroid among other things and the doctor wanted to take a good look inside before he made the final decision (vaginal V abdominal). He also told me that tools are inserted through the cuts is the abdomen to help remove the uterus. I have 4 incisions on by abdomen but all are very small (they are sore too). All in all , surgery went great and I am feeling minimal pain unless i"m on my feet too long. Good luck to you!
  #6  
Unread 09-16-2011, 12:56 PM
Re: LAVH vs. Vaginal hysterectomy

Thanks for answering. I'm so glad that all went well for you and that you are healing well!
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