Total laparoscopic hysterectomy in a super obese patient- a challenge to gynecologists

Laparoscopic approach is preferred over laparotomy in almost all cases requiring hysterectomy because of reduced pain, postoperative complications, blood loss, hospital stay and faster recovery. Laparoscopic approach was traditionally considered to be difficult in morbidly obese patients but with advancement in laparoscopic techniques and accessibility of bariatric trocars this approach is gaining more importance. Here, we present a 51 years old multiparous lady with recurrent postmenopausal bleeding with multiple comorbidities for which total laparoscopic hysterectomy (TLH) was done and the patient recovered with no postoperative complications.