Laparoscopic hysterectomy for a case of previous 3 caesarean sections with bladder adhesions
This video demonstrates a Total Laparoscopic Hysterectomy (TLH) in a patient with three previous lower segment cesarean sections (LSCS). The major challenge is safe bladder dissection due to dense vesicouterine adhesions commonly encountered after multiple cesarean deliveries. The surgeon explains the relevant fascial anatomy and shows how to identify the correct avascular plane for dissection while protecting the bladder and ureters. Viewers will also learn practical tips for adhesiolysis, retroperitoneal orientation, and completing a difficult hysterectomy safely. This is an excellent educational video for surgeons managing repeat cesarean hysterectomy cases.