A case of total laparoscopic hysterectomy for early endometrial cancer in a non-communicative woman with severe developmental and intellectual disabilities: Arrangements for minimizing invasiveness in surgical techniques and the need for multi-disciplinary collaboration in perioperative management.

Introduction: Gynecological surgery of patients with severe motor and intellectual disabilities (SMID) carry specific risks associated with the difficulties in gynecological examination, the presenting symptoms, and the demands of adapting to the inpatient environment. We report on a SMID patient who underwent a total laparoscopic hysterectomy (TLH) after information pertaining to her condition was shared between the multidisciplinary team and the resident facility staff.