LAVH

A Laparoscopic-Assisted Vaginal Hysterectomy (LAVH) is a surgical procedure to remove the uterus using a combination of laparoscopic and vaginal techniques. It is a minimally invasive alternative to traditional abdominal hysterectomy, offering faster recovery, less pain, and reduced scarring. Dr. Kanchi Khurana, a skilled laparoscopic surgeon, provides expert care for patients requiring this procedure, ensuring precision and patient-centered treatment.

LAVH is a hybrid procedure that combines the benefits of laparoscopy and vaginal surgery. It involves:

• Laparoscopic Phase: Small incisions are made in the abdomen to insert a laparoscope (a thin, lighted tube with a camera) and specialized instruments. The surgeon uses these tools to detach the uterus from surrounding structures.
• Vaginal Phase: The uterus is removed through the vagina, avoiding the need for a large abdominal incision.
• This approach is ideal for patients who are not candidates for a total vaginal hysterectomy due to factors like adhesions, endometriosis, or a large uterus.

• Expertise in Minimally Invasive Surgery: Dr. Khurana specializes in laparoscopic and vaginal surgical techniques, making her a trusted choice for LAVH.
• Patient-Centered Care: She is known for her compassionate approach, taking the time to understand her patients’ concerns and providing personalized treatment plans.
• Advanced Technology: Dr. Khurana uses state-of-the-art equipment and the latest surgical techniques to ensure safe and effective treatment.
• Strong Track Record: Her successful outcomes and positive patient testimonials reflect her dedication to excellence in patient care.
• Comprehensive Approach: Dr. Khurana offers end-to-end care, from diagnosis to postoperative follow-up, ensuring the best possible outcomes for her patients.

LAVH is recommended for women with:

• Uterine Fibroids: Non-cancerous growths that cause pain, heavy bleeding, or pressure.
• Endometriosis: A condition where tissue similar to the uterine lining grows outside the uterus, causing pain and infertility.
• Abnormal Uterine Bleeding: Heavy or irregular bleeding that does not respond to other treatments.
• Uterine Prolapse: When the uterus slips down into the vaginal canal due to weakened pelvic muscles.
• Chronic Pelvic Pain: Persistent pain that is not relieved by other treatments.
• Adenomyosis: A condition where the uterine lining grows into the uterine wall, causing pain and heavy bleeding.

• Minimally Invasive: Smaller incisions result in less pain, reduced scarring, and quicker recovery compared to open surgery.
• Faster Recovery: Most patients can return to normal activities within 2-4 weeks.
• Reduced Risk of Complications: Lower risk of infection, bleeding, and adhesions compared to abdominal hysterectomy.
• Shorter Hospital Stay: Patients typically go home within 1-2 days after surgery.
• Improved Cosmetic Outcome: Smaller incisions mean less visible scarring.

• Preparation:
• • Patients may undergo imaging tests (e.g., ultrasound or MRI) to assess the uterus and surrounding structures.
  • Preoperative instructions may include fasting and stopping certain medications.
• Anesthesia: General anesthesia is administered to ensure the patient is asleep and pain-free during the procedure.
• Laparoscopic Phase:
  • Dr. Khurana makes 3-4 small incisions (5-10 mm) in the abdomen.
  • Carbon dioxide gas is used to inflate the abdomen, creating space for the procedure.
  • The laparoscope and specialized instruments are inserted to detach the uterus from surrounding tissues, ligaments, and blood vessels.
• Vaginal Phase:
  • The uterus is removed through the vagina.
  • If necessary, the cervix may also be removed (total hysterectomy) or preserved (supracervical hysterectomy).
• Closing the Incisions:  The incisions are closed with sutures or surgical tape.

While LAVH is generally safe, potential risks include:

• Bleeding or infection.
• Injury to surrounding organs (e.g., bladder, bowel).
• Adverse reactions to anesthesia.
• Rare complications such as blood clots or vaginal cuff dehiscence (opening of the surgical site).

• Minimally Invasive: Smaller incisions mean less pain and scarring.
• Faster Recovery: Quicker return to daily activities and work.
• Effective Treatment: Addresses the underlying condition while minimizing damage to surrounding tissues.
• Improved Cosmetic Outcome: Smaller incisions result in less visible scarring.

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