Total laparoscopic hysterectomy with bilateral adnexectomy: standard technique
Epublication WebSurg.com, Dec 2011;11(12). URL: http://websurg.com/doi/vd01en3339
Despite much enthusiasm at the early stages of laparoscopic surgery, laparoscopy did not develop as expected. Detractors of laparoscopic surgery mention its difficulty and its length. This could explain that only about 12% of hysterectomies are perfomed laparoscopically (Wu JM et al., 2007). Nevertheless, we believe that the standardization of total laparoscopic hysterectomy (TLH) can simplify this surgery, make it faster and also more reproducible. This video demonstrates the 10 key steps of a TLH with adnexectomy that can help any gynecologic surgeon to safely reproduce the procedure.