Vaginal
Hysterectomy
A vaginal
hysterectomy is a less commonly performed
hysterectomy where the uterus and/or ovaries are
removed through the vagina rather than through
an abdominal incision. While most hysterectomies
are abdominal, some doctors recommend vaginal
hysterectomy when a woman is suffering from
cervical dysplasia. The mode of hysterectomy
depends on the size of the uterus , accompanying
intraabdominal pathology and the skill of the
surgeon to perform advanced vaginal surgery. The
reason why a vaginal hysterectomy is suggested
for cervical dysplasia is because the uterus is
usually of normal size and the procedure is
technically easy to perform.
Vaginal hysterectomies are not suggested
for women who have large fibroid tumors or
ovarian cysts as the uterus must be small enough
to pass through the vaginal canal. Many women
who have not been through childbirth may not
have vaginal canals that are large enough for
the procedure.
Laparoscopic
Assisted Vaginal
Hysterectomy
Another form of hysterectomy is called
laparoscopic assisted Vaginal Hysterectomy. This
procedure uses a laparoscopic approach to remove
the upper portions of the uterus, also to allow
the surgeon to survey the entire abdomen and
remove safely intestines that may have adhered
to the uterus in cases of endometriosis.
Laparoscopic approach actually allows the
skilled surgeon to convert a potential abdominal
hysterectomy into a vaginal one. The recovery is
shorter and the patient disability is
less.
| 
