“…Type VII total laparoscopic hysterectomy, an abdominal hysterectomy in which all surgical dissections, ligations, and sutures are completed through the sheath [1], has also been classified as a clean-contaminated procedure. However, potential for contamination is greater because total laparoscopic hysterectomy begins with placement of uterine manipulators and urethral catheters, is continued through trocars in the abdominal field, may involve manipulation of the urethral catheter or uterine manipulators, and ends with colpotomy, which is then sutured closed [2].…”