This advanced laparoscopic surgical video presents the combination of Total Laparoscopic Hysterectomy with right inguinal hernia repair and left incisional hernia repair through a three-port approach. Combined minimally invasive surgery can be an effective strategy in appropriately selected patients requiring treatment for more than one surgical condition, allowing comprehensive management during a single operative session.

The operation requires detailed knowledge of both pelvic and abdominal wall anatomy. Proper patient positioning, safe abdominal entry, strategic placement of laparoscopic ports, and maintenance of good instrument triangulation are essential for successfully completing this complex procedure. The three-port technique highlights the efficiency of modern minimally invasive surgery while maintaining adequate visualization and operative access.

During the Total Laparoscopic Hysterectomy, careful dissection is performed to mobilize the uterus and safely manage the surrounding pelvic structures. Particular attention is given to identifying important anatomical landmarks and protecting structures such as the bladder, ureters, bowel, and pelvic vessels. Advanced laparoscopic skills in dissection, coagulation, cutting, and suturing are essential throughout the procedure.

After completing the gynecological component, laparoscopic evaluation allows the surgeon to address the right inguinal hernia and left incisional hernia. The hernia contents and defects are carefully assessed, followed by appropriate reduction and repair according to established surgical principles. Managing both hernias during the same laparoscopic session demonstrates the versatility of minimally invasive techniques and the importance of individualized operative planning.

For surgeons and trainees, this video provides valuable educational insight into complex combined laparoscopic surgery. It emphasizes efficient port utilization, safe anatomical dissection, careful surgical decision-making, and the advantages of minimally invasive approaches in selected patients. The procedure represents the growing role of advanced laparoscopy in providing comprehensive surgical care with precision and minimal access techniques.

This surgical video is an excellent learning resource for gynecologists, general surgeons, laparoscopic trainees, and minimally invasive surgery professionals seeking to understand the principles and workflow of combined Total Laparoscopic Hysterectomy and simultaneous abdominal wall hernia repair.