TLH for previous 2 LSCS in a adenomyotic uterus where previous laparoscopic myomectomy was done by me for 18 cm myoma. Wish all of you to note how scar of baseball suturing technique with V lock looks.Also if it's clear case, central bladder dissection can be safely performed. In such cases, no need to complicate simple surgery by reaching out to uterines at its base.