Design: An educational video was designed in which we demonstrate a step-by-step guide on performance of TLH with reusable devices.

Setting: Operating theatre in a high-volume surgical center in central Kenya.

Patients or Participants: Gynecological patients requiring TLH for treatment of pathology including uterine fibroids.

Interventions: A systematic surgical approach for successful performance of TLH utilizing reusable devices.

Measurements and Main Results: We present an educational video to provide gynecologic surgeons worldwide a resource on how to perform TLH with reusable devices. Specific differences from hysterectomy as performed in the United States include use of reusable surgical linens, use of reusable energy devices, and use of a sterilizable vaginal tube for delineation of the vaginal fornices for performance of colpotomy.

Conclusion: Performance of TLH with reusable instruments is possible and safe. This technique has many benefits including low cost and reduced carbon footprint. Employment of the steps demonstrated in this video can help gynecologic surgeons perform TLH in a way that is environmentally responsible.