Surgical steps | |
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• Lift bowel out of pelvis • Grasp right round ligament and pull uterus to the left • Divide the right round ligament • Divide the right infundibular ligament • Open anterior leaf of broad ligament • Open posterior leaf of broad ligament • Skeletonize the uterine artery • Grasp the left round ligament • Pull the uterus to the right • Divide the left round ligament • Divide the left infundibular ligament • Skeletonize the left broad ligament • Incise and dissect the parametria on both sides • Open the posterior vaginal cuff • Open the anterior vaginal cuff • Complete colpotomy and remove uterus • Close vault with interrupted sutures |