In simple words: The doctor removes the uterus and cervix through the vagina, using a small camera and tools inserted through tiny cuts in the belly to help with the surgery.

This procedure involves the removal of the uterus and cervix through the vagina, using a laparoscope to assist with the upper uterine attachments.It is performed when the uterus is a normal size (250 grams or less). The surgeon utilizes a laparoscope for visualization and instruments inserted through small incisions in the abdomen to detach the uterus. The uterus is then removed through the vagina.

Example 1: A 45-year-old woman with symptomatic uterine fibroids causing heavy menstrual bleeding and pelvic pain undergoes a laparoscopically assisted vaginal hysterectomy, as her uterus is within the size limit for this procedure., A 50-year-old woman with prolapse of the uterus undergoes LAVH, opting for a minimally invasive approach due to its faster recovery time. Her uterus is confirmed to be under the 250g weight limit., A 38-year-old woman with endometriosis and chronic pelvic pain undergoes LAVH to remove the affected uterus, which weighs less than 250g. This approach is preferred to minimize scarring and post-operative pain.

Documentation should include operative notes detailing the size of the uterus (confirming it is 250g or less), the method of hysterectomy, any additional procedures performed (such as removal of tubes or ovaries), and any complications encountered.