Description

Laparoscopic Assisted Vaginal Hysterectomy (LAVH) has emerged as an important minimally invasive alternative to conventional abdominal hysterectomy, offering reduced morbidity, faster recovery, and improved patient satisfaction. At World Laparoscopy Hospital, Gurugram, Dr. R. K. Mishra—an internationally renowned laparoscopic surgeon and educator—delivers a comprehensive step-by-step surgical lecture that simplifies the understanding and execution of LAVH for surgeons at different stages of training. The lecture begins with a clear explanation of patient selection, indications, and contraindications for LAVH. Emphasis is placed on proper preoperative evaluation, informed consent, and preparation, which form the foundation of safe and effective surgery. Dr. Mishra highlights the importance of ergonomic port placement, correct patient positioning, and creation of pneumoperitoneum, ensuring optimal visualization and surgeon comfort throughout the procedure. In a systematic manner, the laparoscopic phase of LAVH is demonstrated, focusing on identification of pelvic anatomy, careful dissection, and secure sealing of vascular pedicles. Key steps such as round ligament division, bladder mobilization, uterine artery control, and management of adnexal structures are explained with precision. Dr. Mishra shares practical tips to avoid common complications, stressing the significance of maintaining the correct surgical planes and respecting anatomical landmarks. The lecture then transitions smoothly to the vaginal phase, where uterine descent, colpotomy, specimen removal, and vault closure are performed. This integrated approach helps learners understand how laparoscopy and vaginal surgery complement each other in LAVH. Throughout the session, Dr. Mishra emphasizes patient safety, minimal tissue trauma, and adherence to standardized surgical principles. Overall, this step-by-step surgical lecture at World Laparoscopy Hospital serves as an invaluable educational resource. By simplifying complex concepts and combining theoretical knowledge with practical insights, Dr. R. K. Mishra empowers gynecologic surgeons to perform LAVH with confidence, precision, and excellence, ultimately advancing the standards of minimally invasive gynecologic surgery.