Abstract
Total hysterectomy is performed to treat hypermenorrhea and fibroids accompanied by dysmenorrhea, and is widely performed as an obstetrics and gynecology operation. In our department, total hysterectomy has been performed using an open incision in the abdomen to date. Due to recent advances in endoscopic surgery and operating equipment, the same operation can now be performed under laparoscopy. Herein, we report our establishment of the safe performance of total hysterectomy using a laparoscope combined with a cystoscope.