Laparoscopic Assisted Vaginal Hysterectomy
This operation is done by some surgeons to assist with the vaginal hysterectomy procedure. It involves a surgical instrument (laparoscope) being inserted through a small incision in the abdomen and pelvis. This allows the surgeon to view the uterus, ovaries and tissues that surround these organs within the pelvis more easily. This approach is more suited to women with an enlarged uterus, a history of pelvic surgery, endometriosis or any other factors that may complicate a traditional vaginal approach or if the fallopian tubes/ovaries are to be removed.
Your stay in hospital will usually be for 1-2 days.
Regular pain relief and rest are important along with gentle walks each day.
Avoidance of heavy lifting and becoming constipated are necessary throughout your recovery.
You may be unable to drive for 4-6 weeks.
If your ovaries are removed it may be necessary to begin Hormone Replacement Therapy (HRT).
Two to three months is the optimum time for recovery from this surgery. If you follow the advice of the hospital staff you should make a full recovery and resume a completely normal, active and unrestricted lifestyle.
The majority of women undergoing hysterectomy do not experience any complications, however as with any procedure there are risks.
- Wound infection and bruising
- Frequency of micturition (passing urine)
- Delayed wound healing
Serious or Frequently Occurring Risks:
- Damage to the bladder and or ureter and/or long-term disturbance to the bladder function
- Damage to the bowel. (Damage to the bladder and or bowel will be repaired at the time of surgery)
- Pelvic abscess/infection
- Venous thrombosis (DVT) or pulmonary embolism (blood clot)
- Earlier mobilisation
- Reduced discomfort
- Reduced blood loss
- Reduced scarring and good cosmetic result
- Reduced likelihood of adhesions after treatment
- Minimal disturbance to surrounding organs e.g. bladder and bowel.