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Description: In this video, we demonstrate a detailed step-by-step Total Laparoscopic Hysterectomy (TLH) performed in a challenging case of retroverted uterus with multiple pelvic adhesions involving bowel and pouch of Douglas. The surgery highlights meticulous adhesiolysis, safe identification of pelvic anatomy, and precise dissection techniques to ensure patient safety. Key highlights of this case: • Management of dense pelvic adhesions • Dissection around bowel and pouch of Douglas • Demonstration of careful ureteric identification • Stepwise approach to retroverted uterus hysterectomy • Importance of maintaining surgical planes for safe TLH outcomes This video serves as an educational resource for gynecologists, laparoscopic surgeons, and medical students to understand advanced minimally invasive gynecologic surgery techniques in complex surgical scenarios. 👉 Don’t forget to like, share, and subscribe for more surgical learning videos. #LaparoscopicHysterectomy #TLH #GynecSurgery #Laparoscopy #MinimallyInvasiveSurgery #Gynecology #Adhesiolysis #RetrovertedUterus #PelvicAdhesions #DouglasPouch #MedicalEducation #OBGYN #SurgicalVideo #UterusSurgery #LaparoscopicSurgery #drkishan #kishanpatel #laparoscopicsurgery #tlh #laparoscopichysterectomy #totallaparoscopichysterectomy #simplelaparoscopichysterectomy #basicstepoftlh #stepwiselaparoObgy #gynecologistinnadiad #younggynecologist #obstetrician #nadiad #gynecologist #doctorinnadiad 📌 Don’t forget to like, share, and subscribe for more Youtube channel @StepwiselaparoObgy / @stepwiselaparoobgy