This video demonstrates 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. A hysterectomy can be performed using a laparoscope, which is a thin keyhole camera that allows the surgeon to see the pelvic organs. The laparoscope and other instruments are inserted through small incisions in the skin and then used by the surgeon to remove the uterus. hysterectomy depending on the clinical circumstances. A hysterectomy can be performed using a laparoscope, which is a thin keyhole camera that allows the surgeon to see the pelvic organs. The laparoscope and other instruments are inserted through small incisions in the skin and then used by the surgeon to remove the uterus.