This video demonstrate step by step total laparoscopic hysterectomy. Hysterectomy is the removal of the uterus with surgery. There are many reasons a hysterectomy can be performed such as fibroids, heavy or irregular menstrual bleeding, prolapse, chronic uterine pain, pelvic inflammatory disease, pre-cancerous conditions, cancer and endometriosis. hysterectomy depending on the clinical circumstances.

Total laparoscopic hysterectomy (TLH) is a minimally invasive surgical procedure used to remove the uterus and cervix through small incisions in the abdomen. Here is an overview of the procedure:

Anesthesia: The patient will be placed under general anesthesia.

Port placement: Several small incisions will be made in the abdomen to allow access for the laparoscope and other instruments. Typically, four to five ports will be placed.

Dissection of the uterus and cervix: The laparoscope will be inserted through one of the incisions to allow the surgeon to view the uterus and cervix. The blood vessels and tissues attaching the uterus and cervix to surrounding structures will be dissected and sealed using specialized instruments, such as a bipolar or ultrasonic energy device.

Removal of the uterus and cervix: Once the uterus and cervix have been completely dissected, they will be removed through one of the incisions. The vagina will be sutured closed where the cervix was removed.

Closure of incisions: The incisions will be closed with sutures or surgical glue.

Recovery: The patient will be monitored in the recovery room until they wake up from anesthesia, and then will be transferred to a regular hospital room. They may experience mild pain or discomfort, which can be managed with medication.

Total laparoscopic hysterectomy is generally associated with less postoperative pain, shorter hospital stays, and quicker recovery times compared to traditional open surgery. It also results in less scarring and blood loss. However, as with any surgical procedure, there are potential risks and complications, such as bleeding, infection, and injury to surrounding organs. It is important to discuss the risks and benefits of TLH with your healthcare provider to determine if it is the best option for you.