Total Laparoscopic Hysterectomy and Bilateral Salpingo-Oophorectomy

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Hysterectomy is the second most common major surgical procedure performed in the gynecological practice. Over one third of women have undergone a hysterectomy by the age of 60. The Total Laparoscopic Hysterectomy and Bilateral Salpingooophorectomy can be done very efficiently by laparoscopy. The technique and route of delivery of the uterus depend on a combination of factors, including the anticipated pathology, the patient's body habitus, the degree of pelvic relaxation, the need for concurrent uae of morcellator and vaginal procedures, and the expertise of the surgeon. The Total Laparoscopic Hysterectomy is a basic component in the armamentarium of any laparoscopic surgeon. A standard approach with emphasis on principles of surgical technique is presented.