TLH in a Woman with Extensive Adhesions
This Video is Level 3
To perform at this level, the surgeon should be acquainted with all instruments, have advanced hand-to-eye coordination, recognize the dangers, start focusing on hemostatic principles and safety techniques and be able to operate without supervision.
Case
The patient is a 47-year-old woman with diffused adenomyosis, severe metrorrhagia and three previous cesarian sections.