Laparoscopic Trachelectomy for Cervical stump with CIN3 and Persistant pelvic pain following subtotal hysterectomy

A P3L3,39 yr old women had history of total abdominal hysterectomy for dysmenorrhea with ASCUS on pap smear in 2013 in Nigeria presented to us with severe pain abdomen and bleeding from last 3 yr. Bleeding was irregular, occur every 2-3 month. On diagnostic hysteroscopy and laparoscopy, remnant of uterus along with cervix and right ovary and fallopian tube was found. So, laparoscopic removal of remnant uterus and cervix with right salpingoophorectomy done under GA on 29-6-18. Here auther wish to enlighten the ease of visualization and operability along with clarity of anatomy during laparoscopic trachelectomy following subtotal hysterectomy.