Quick Facts

 

Past and Present:
Laparoscopic Assisted Vaginal Hysterectomy (LAVH) is not your mother’s hysterectomy. In the old days, you stayed in the hospital for 4-6 days, didn’t return to work for 6 weeks, and were left with a large scar. Today, there are a number of new options that do away with those problems and more. New procedures feature shorter or no hospital stays, less post-operative pain, negligible scars, and a quick return to normal activity and work.

 

The Laparoscopic Revolution:
Laparoscopy was pioneered by gynecologists in the early 1960s, and has been widely used in a range of procedures, including tubal ligation, the removal of ovaries and fibroids (benign fibrous tumors of the uterus), and the treatment of tubal pregnancies.

 

If you’re concerned that laparoscopic hysterectomy is relatively new, remember that gynecologists have been using laparoscopy for the past three decades. More than 95 of all gallbladder surgery is now performed using this technique. Similarly, LAVH is rapidly gaining acceptance among gynecologic surgeons and their patients.

 

The first laparoscopic hysterectomy in the world was performed by gynecologist Dr. Harry Reich in 1989.  Dr. Lyndon Taylor at Healthcare for Women has been performing this procedure since 1991.

 

Procedure Description:
LAVH combines laparoscopy and hysterectomy. Laparoscopy is used to look into the abdomen at the reproductive organs. Hysterectomy is surgery to remove the uterus.

The uterus can be removed in two ways. When it is removed through a large cut (incision) in the abdomen, the procedure is called an abdominal hysterectomy (the past).

 

Today, LAVH involves the use of a small, telescope-like device called a laparoscope. The laparoscope is inserted into the abdomen through a small cut. It brings light into the abdomen so that your doctor can see inside. Tiny instruments are also inserted to perform the procedure. Ligaments that support the uterus are cut with these instruments, and the uterus is removed vaginally.

 

The benefits of LAVH include a short post-operative recovery time, which can be as little as a few hours after the surgery, to a day or two depending on your condition. Also, many patients can return to work and normal activities within 1 to 2 weeks. Most patients appreciate that LAVH has better cosmetic results, with only tiny scars.


What To Expect:
LAVH may be performed on an out-patient basis. This means that you may be going home the same day. The surgery typically lasts from 1 to 2 hours, with a 4- to 8-hour post-operative recovery period, depending on your condition.

Pre-procedure:

A complete history and physical exam including a pap smear and a vaginal ultrasound are performed at the time of the first visit, with other pre-surgical testing depending on your condition. You do not qualify for LAVH if you have advanced cancer.

Post-procedure:
Recovery from laparoscopic surgery is significantly faster and less painful than recovery from traditional surgery.  After LAVH, you will no longer have any vaginal bleeding. There wil be no hormonal changes when the ovaries are preserved. Most women say that sex is unchanged, or even improves because  of the elimination of bleeding and pain. You may experience some vaginal dryness, which can be treated with estrogen cream and lubricants (we recommend
Astroglide).

Laparoscopic Assisted

Vaginal Hysterectomy

Not your mother's hysterectomy.

Click picture to enlarge

Click picture to enlarge

Lyndon D. Taylor, MD

1100 Lake Street, Suite 260

Oak Park, Illinois 60301

The Excellent Care You Need,

The Compassion You Deserve

Phone: 708-848-9440

Fax: 708-848-4415

Email: lyndontaylor@msn.com

Website: http://www.LyndonTaylorObGyn.yourMD.com

Chronic pelvic pain and abnormal uterine bleeding

 

Laparoscopic Assisted Vaginal Hysterectomy

Major advantages over traditional hysterectomy include: shorter post-operative recovery, quicker return to work, less pain, and minimal scarring.

 

Lyndon D. Taylor, MD

1100 Lake Street, Suite 260

Oak Park, Illinois 60301

Phone (708) 848-9440

 

Print this coupon and make your appointment today.

Lyndon D Taylor MD LLC

Comparative Benefits of Laparoscopic Assisted Vaginal Hysterectomy

Visit one of the Chicago area’s leading advanced laparoscopic surgeons, with offices in Oak Park, Illinois. Leading-edge medical care for women’s health conditions, including: endometriosis, uterine fibroids, chronic pelvic pain, abnormal uterine bleeding, reproductive disorders (infertility), and obstetric care. Procedures include: laparoscopic myomectomy, endometrial ablation, and laparoscopic assisted vaginal hysterectomy.

LYNDON TAYLOR

OB/GYN

Lyndon D Taylor MD LLC

The Excellent Care You Need,  The Compassion You Deserve

Click here to schedule your appointment for a LAVH

Free Consultation and Ultrasound

 

TRADITIONAL

BETTER

BEST

NEW

Procedure

Total Abdominal

Hysterectomy

Vaginal

Hysterectomy

Laparoscopically

Assisted Vaginal

Hysterectomy

Laparoscopic

Supracervical

Hysterectomy

Acronym

(TAH)

(VH)

(LAVH)

(LSH)

Incision Site

Abdomen

Inner vagina

Belly button/vagina

Abdomen (4 small incisions)

Hospital Stay

5-6 days

1-3 days

1-3 days

Outpatient to 1 day

Recovery Time

6 weeks

4-6 weeks

4-6 weeks

2-3 weeks

Retention of Cervix

Upon request

No

No

YES

Indications

AUB*, large fibroids, severe endometriosis, pelvic infection/scarring

AUB*, utero-vaginal prolapse, smaller fibroids 

AUB*, utero-vaginal prolapse, smaller fibroids 

AUB*, fibroids

Contraindications

 

Large fibroids

Large fibroids

Large or numerous fibroids