A Laparoscopically Assisted Vaginal Hysterectomy is similar to the Total Laparoscopic Hysterectomy as both the uterus and the cervix* are removed at a LAVH. Both procedures, TLH and LAVH, are initiated by first dissecting and transecting the ligaments and blood supply laparoscopically. However, with a Laparoscopically Assisted Vaginal Hysterectomy, the colpotomy and extraction of uterus is performed via the vagina.
In cases with a substantially enlarged uterus, a morcellator, e.g. the LiNA Xcise Morcellator, is needed to extract the tissue/uterus. At the end of the LAVH procedure, the vaginal vault is sutured and closed through the vagina.
*The procedure can also include salpingo-oophorectomy (unilateral/bilateral) thereby additionally removing the ovary(-ies) and fallopian tube(s). When performing a radical hysterectomy part of the parametrium is removed as well and in procedures involving cancer there may also be a need for removing the lymp nodes.