Fig. 3
From: First single-incision type 7 total laparoscopic hysterectomy, adnexectomy, and appendectomy
The RealHand grasper appears to be coming from a port remote from the 30° scope and the Ligasure due to its easy intracavitary flexibility. It is grasping the left round ligament for the Ligasure V to seal. Notice the sealed edges of the cut ovarian vessels (bottom) in this picture in which the surgical focus is on the right side of the picture. The eccentric view facilitates surgical manipulation