Post cesarean adhesiolysis during hysterectomy may be sometimes challenging, especially in case of associated adenomyosis or endometriosis. Nowadays, more and more surgeons use robotic assistance to perform laparoscopic hysterectomy. The number and size of trocars may influence postoperative pain. We present in a video a robotically assisted laparoscopic hysterectomy (RALH) using only two instruments and trocars to perform a difficult post cesarean adhesiolysis with removal of associated endometriosis.
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