Design: Stepwise demonstration of three surgical approaches with narrated video footage from seven hysterectomies.

Setting: Combination of robotic-assisted and laparoscopic hysterectomies.

Patients or Participants: Seven patients undergoing minimally invasive hysterectomies for benign indications.

Interventions: Laparoscopic or robotic-assisted hysterectomies utilizing the following strategies: 1) Starting the colpotomy posteriorly, 2) performing the colpotomy early, 3) performing a supracervical hysterectomy followed by a colpotomy.

Measurements and Main Results: Successful hysterectomies using the featured strategies demonstrated in the video.

Conclusion: Laparoscopic and robotic-assisted hysterectomies involving large uteruses can be challenging. The strategies for approaching colpotomy demonstrated in this video can be utilized to increase the success or ease of the colpotomy.