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In this surgical video, we present a Total Laparoscopic Hysterectomy (TLH) performed in a patient with a prior laparotomy for right-sided ectopic pregnancy. The case highlights meticulous adhesiolysis of post-surgical pelvic adhesions, ensuring safe dissection and restoration of anatomy. This video is a valuable reference for gynec surgeons, residents, and postgraduate students to understand step-by-step technique, handling of difficult hysterectomy cases with dense adhesions, and the importance of safeguarding vital structures during advanced laparoscopic surgery. If you are interested in minimally invasive gynec surgery, hysterectomy techniques, adhesiolysis tips, and ureter identification during laparoscopy, this video provides practical insights with real operative footage. #TotalLaparoscopicHysterectomy #TLH #LaparoscopicHysterectomy #Adhesiolysis #UreterPeristalsis #GynecSurgery #MinimallyInvasiveSurgery #Laparoscopy #EndoscopicSurgery #AdvancedLaparoscopy #HysterectomySurgery #PelvicAdhesions #LaparotomyHistory #GynaecologySurgery #MedicalEducation #SurgicalVideo #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