This comprehensive surgical video from World Laparoscopy Hospital (WLH) presents an advanced approach to Total Laparoscopic Hysterectomy (TLH) combined with intraoperative cystoscopy and infrared ureteric identification. The procedure demonstrates the application of modern minimally invasive techniques designed to provide precise pelvic visualization while maintaining awareness of critical urinary tract anatomy.

During laparoscopic hysterectomy, identification and preservation of the ureters are fundamental aspects of safe pelvic surgery. The video focuses on the importance of understanding pelvic anatomy and maintaining appropriate tissue planes during dissection. Infrared-assisted ureteric catheterization can provide additional visual assistance for ureteric localization, while cystoscopy can be used intraoperatively to inspect the urinary bladder and assess ureteric drainage when clinically indicated.

The surgical demonstration covers important stages of TLH, including laparoscopic entry and port placement, pelvic exploration, identification of the uterus and adnexal structures, bladder dissection, uterine vessel management, controlled division of supporting ligaments, colpotomy, specimen extraction, and vaginal cuff closure. The combination of laparoscopic visualization with urinary tract assessment illustrates a comprehensive approach to complex gynecological surgery.

This video is designed as an educational resource for laparoscopic surgeons, gynecologists, surgical residents, fellows, and medical professionals interested in advanced minimally invasive gynecological surgery. It can also help learners understand the relationship between surgical dissection and important pelvic structures, particularly the ureters and urinary bladder.

The World Laparoscopy Hospital training environment emphasizes practical surgical knowledge, anatomical understanding, ergonomics, operative decision-making, and advanced laparoscopic and robotic techniques. Through demonstrations such as this, surgeons can gain greater insight into the principles involved in performing technically demanding minimally invasive procedures.