Abstract
Video Objective Demonstrate alternative surgical approaches for difficult hysterectomies. Setting Multiple Cases of Hysterectomies with Challenging circumstances. Interventions Multiple Cases of Hysterectomies with Challenging circumstances with strategies for getting an alternative approach. 1. 30° angle Scope for better visualization 2. Decompression for vaginal extraction 3. Traction of the angles of vaginal cuff 4. Bladder Distention 5. Blunt Dissection 6. Cold Dissection 7. Power Morcellation 8. Identify Retroperitoneal Structures. Conclusion These strategies are useful to perform complex surgery and reduce the risk of complications
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