An operative technique for laparoscopic hysterectomy using a retroperitoneal approach.

The technique used for abdominal hysterectomy does not lend itself well to a laparoscopic approach because vital structures will be difficult to visualize and retroperitoneal spaces difficult to open. An entirely different approach is required. An operative technique for laparoscopic hysterectomy is based on a systematic dissection of the retroperitoneum in a very precise sequence of operative steps. It provides complete control of the operative field and allows visualization of all important retroperitoneal structures. The technique is simple to learn, and requires no special surgical skills beyond what is necessary for routine laparoscopic gynecologic procedures.