What Is a Laparoscopic-Assisted Vaginal Hysterectomy?

Laparoscopic assisted vaginal hysterectomy refers to obstetrics and gynecology / obstetrics endoscope / laparoscopy / laparoscopic hysterectomy.

Laparoscopic assisted vaginal hysterectomy

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Laparoscopic assisted vaginal hysterectomy refers to obstetrics and gynecology / obstetrics endoscope / laparoscopy / laparoscopic hysterectomy.

Laparoscopic assisted vaginal hysterectomy

laparoscope-assisted vaginal hysterectomies; laparoscopic-assisted vaginal hysterectomies; LAVH; laparoscopic-asisted vaginal hysterectomy

Obstetrics and Gynecology / Gynecology Endoscopy / Laparoscopy / Laparoscopic Hysterectomy

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Laparoscopic-assisted hysterectomy begins with laparoscopic surgery and ends with vaginal surgery. At least laparoscopically treated attachments are converted to vaginal surgery, which is currently the most commonly used laparoscopic hysterectomy. Anatomy of the uterus.

Laparoscopic assisted vaginal hysterectomy is suitable for:

1. Uterine fibroids need to remove the uterus.

2. Uterine fibroids, the uterus is less than 4 months pregnant.

3. Uterine myoma and myoma.

4. Endometrial hyperplasia is too long.

5. Uterine prolapse.

1. The uterus is larger than the uterus at 3 months of pregnancy.

2. Those with severe pelvic adhesions.

3. Moderate and severe endometriosis.

4. Vaginal stenosis, can not be transvaginal operators.

1. Vaginal irrigation 3d before surgery.

2. Soap enema before the operation.

3. Pelvic adhesions need bowel preparation.

4. Catheterization and blood preparation before surgery.

1. Epidural or general anesthesia.

2. Bladder lithotomy position.

1. Take the bladder lithotomy position, routinely sterilize, spread cloth and cover sheet, and place the palace lifting device.

2. Choose between three or four holes.

3. Routine exploration of the abdominal cavity.

4. Uterine round ligament, broad ligament, bladder reverse peritoneum, ovary and fallopian tubes are treated with laparoscopic total hysterectomy.

5. After processing the attachment, you can switch to vaginal operation, or you can switch to vaginal surgery after processing the uterine blood vessel according to the condition of the uterine blood vessel.

6. Follow the steps of vaginal hysterectomy to gradually process the main ligament of the uterus, the sacrum ligament, and suture the peritoneum and vaginal stump (see vaginal hysterectomy).

7. After re-inflating into a pneumoperitoneum, flush the abdominal cavity, aspirate the effusion, exhaust, take the cannula and lens, and suture each puncture hole.