The best replacement for lavh is tlh.

The best alternatives to lavh are rated as following:
★★★★★  tlh
★★★★  lsh
★★★★  tah
★★★  vh
★★  laparoscopic hysterectomy
★★  vaginal hysterectomy
★  tvh
  abdominal hysterectomy
  supracervical hysterectomy

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tlh
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