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Laparoscopically assisted vaginal hysterectomy (LAVH) is really a surgical treatment using a laparoscope to steer removing the uterus and/or Fallopian tubes and ovaries through the vagina (birth canal). (Another procedure, called a laparoscopic hysterectomy, is entirely performed using a laparoscope along with other instruments inserted through tiny abdominal incisions, and also the uterus, Fallopian tubes etc. are removed in tiny portions.)
Not all hysterectomies can or should be done by LAVH. In certain situations, a laparoscopic hysterectomy (see above) may be sufficient. In some cases, an abdominal hysterectomy or perhaps a vaginal hysterectomy (without laparoscopy) is indicated.
The surgeon determines the right procedure for each individual case based upon the reason behind the hysterectomy and the health background and condition from the patient.