Laparoscopic Assisted Vaginal Myomectomy (LAVM)

Some fibroids can be reached through the vagina, using a combination of standard surgery and a laparoscope. This method has the advantage of leaving virtually no visible scarring, and offers a relatively fast recovery time. This procedure combines laparoscopic myomectomy with culdotomy or colpotomy -- a vaginal incision. The fibroids are separated from the uterus via laparoscopy and then an incision is made in the vagina to remove the fibroid. The main benefit of this procedure is that there are no abdominal incisions. However, fibroids must be small enough to be removable through the vagina. This procedure carries the additional risk of infection as the vaginal incisions heal.

A Case Report and Literature Review of Laparoscopic Assisted Vaginal Myomectomy

See an overview of all uterine fibroid treatment options.