Advancements in Hysterectomy: Step-by-Step Tutorial on TLH and BSO with ICG Enhancement Hysterectomy stands as a frequently performed gynecological surgery, witnessing substantial advancements over time. Total Laparoscopic Hysterectomy (TLH) and Bilateral Salpingo-Oophorectomy (BSO) are at the forefront of these developments. The incorporation of Indocyanine Green (ICG) fluorescence imaging into these surgeries marks a significant leap, enhancing visual clarity and improving safety. 1. Overview of TLH and BSO TLH, a minimally invasive technique for uterus removal, contrasts sharply with conventional surgical methods. BSO, entailing the extraction of both ovaries and fallopian tubes, often accompanies TLH.

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