This complete surgical tutorial presents Laparoscopic Total Hysterectomy with Bilateral Salpingo-Oophorectomy (TLH with BSO) using ICG fluorescence guidance as an advanced visualization technique during minimally invasive gynecological surgery. The video provides a structured educational overview of the important operative steps and principles involved in performing this procedure safely and systematically.

Total Laparoscopic Hysterectomy is one of the most important procedures in modern minimally invasive gynecology. When combined with Bilateral Salpingo-Oophorectomy, the surgery involves the removal of the uterus along with both fallopian tubes and ovaries when clinically indicated. Successful laparoscopic surgery requires excellent knowledge of pelvic anatomy, precise instrument handling, proper port positioning, effective traction and counter-traction, and careful identification of vital structures throughout the operation.

The use of Indocyanine Green (ICG) fluorescence technology represents an important advancement in surgical imaging. Fluorescence guidance can provide additional visual information during surgery and may assist the operating surgeon in understanding vascular patterns and anatomical relationships. This tutorial highlights the role of advanced visualization technology alongside fundamental principles of safe laparoscopic dissection.

Throughout the procedure, emphasis is placed on maintaining proper surgical planes, achieving secure hemostasis, protecting surrounding organs, and completing each operative step in a logical sequence. The tutorial is particularly valuable for gynecologists, laparoscopic surgeons, fellows, residents, and trainees seeking to improve their understanding of advanced laparoscopic hysterectomy techniques.

This educational video offers an excellent opportunity to study the operative workflow of TLH with BSO, appreciate important pelvic anatomy, and understand how modern ICG fluorescence imaging can complement conventional laparoscopic visualization. It is a useful learning resource for medical professionals interested in the continuing development of minimally invasive gynecological surgery and advanced laparoscopic techniques.