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This video presents the complete surgical procedure of a Two-Port Total Laparoscopic Hysterectomy (TLH) performed on a 65-year-old female patient. The primary indication for the surgery was a large right-sided adnexal mass. The case is made more complex and educational by the patient's significant comorbidities, including long-standing Hypertension (HTN) and Diabetes Mellitus (DM), which require careful preoperative and intraoperative management. Key Learning Points & Surgical Steps: Patient presentation and preoperative workup for an adnexal mass in a postmenopausal woman. Anesthetic considerations for a high-risk geriatric patient. Port placement strategy for a two-port minimally invasive approach. Technique for safe dissection and management of the adnexal mass. Step-by-step demonstration of the total laparoscopic hysterectomy. Showcasing the benefits of a minimally invasive approach, such as reduced blood loss and faster recovery, even in complex cases. This case study is an excellent educational resource for gynecologists, surgical residents, medical students, and healthcare professionals interested in advanced laparoscopic techniques and managing high-risk surgical patients. Disclaimer: This video is intended for medical educational purposes only and should not be considered medical advice. The content is created for healthcare professionals. Viewer discretion is advised. Like, share, and subscribe for more surgical case studies and educational content! #LaparoscopicSurgery #hysterectomyrecovery #gynecology Dr. Some Rose Pervin Rinku,MBBS,BCS,DGO,FCPS Consultant (Gynae & Obs), Chamber Popular diagnostic centre Rajshahi Gynaecologist & obstetrician, Laparoscopic & Hysteroscopic sergeon. Best Laparoscopic surgeon in Rajshahi.