Abstract

The objective of this video is to demonstrate the steps and strategies used in performing a 2-port laparoscopic hysterectomy, which is a safe and practical alternative to traditional multiport laparoscopic hysterectomy. In this video, a patient is undergoing a total laparoscopic hysterectomy and bilateral salpingo-oophorectomy as part of his gender reassignment surgery. Given a small and mobile uterus, a laparoscopic 2-port approach was offered instead of the traditional laparoscopic multiple port technique. Using only an umbilical and suprapubic port, both of which are 5mm, as well as a uterine manipulator, all the steps of a hysterectomy can be safely performed. This offers improved postoperative cosmesis and can potentially help avoid injury to anterior abdominal wall vessels and musculature. This video will demonstrate the steps and strategies in successfully performing a hysterectomy using only two ports. For the appropriately selected patients, 2-port laparoscopic hysterectomy is a safe, feasible, and practical option.

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