LAVH or Laparoscopic assisted vaginal hysterectomy is increasingly becoming popular. Nowadays it is definite alternative to abdominal hysterectomy (not a straightforward vaginal hysterectomy). It is removal of un prolapsed uterus through vaginal route with the help of laparoscopy. Many women come to the doctor and say they want a "laser" hysterectomy. What they usually mean is a laparoscopically assisted vaginal hysterectomy or LAVH.

If a vaginal hysterectomy can be performed in the first place, there would be no point in adding the costs and complications of laparoscopy. Its greatest benefit is the potential to convert what would have been an abdominal hysterectomy into a vaginal hysterectomy. An abdominal hysterectomy requires both a vaginal incision and a four to six inch long incision in the abdomen, which is associated with greater post-operative discomfort and a longer recovery period than for a vaginal procedure.

LAVH result in a significantly shorter hospital stay, with a much more rapid return to normal activities, than TAH (Total Abdominal Hysterectomy). The drug requirement to control pain and the level of pain, patients experienced were also significantly less. Blood loss is not different for the two procedures.

Laparoscopic management provide less postoperative morbidity. Laparoscopic management is a useful method for reducing hospital stay, complications and return to normal activity. The main advantages are:

In experienced hand there is not any specific complication directly related to laparoscopic procedure but if the surgeon is not trained enough in laparoscopy than the chance of following complication is there: But inexperience hand these complications are extremely rare. and altogether laparoscopic procedure has less complication than conventional surgery

No. Most surgeons would not recommend laparoscopic treatment in those with previous chronic diseases. Patients with cardiac diseases and COPD should not be considered a good candidate for laparoscopic management. LAVH may also be more difficult in patients who have had previous lower abdominal surgery. The elderly may also be at increased risk for complications with general anaesthesia combined with pneumoperitoneum.