TLH in a case of severe DIE with frozen pelvis and very dense bowel adhesions
This video demonstrates a difficult Total Laparoscopic Hysterectomy (TLH) in a patient with extensive pelvic adhesions and endometriosis. The procedure focuses on restoring normal anatomy through meticulous adhesiolysis before proceeding with the hysterectomy. Throughout the surgery, the surgeon repeatedly emphasizes the importance of identifying and protecting the ureters while navigating distorted pelvic anatomy. Practical tips are provided on retroperitoneal dissection, bladder mobilization, uterine artery management, and the safe use of energy devices. The video is an excellent learning resource for surgeons who want to improve their confidence in managing complex laparoscopic hysterectomy cases.