Ventrofixed Uterus: Unfreezing the Uterus in 6 Standardized Steps.

ABSTRACT:

Objective

This article presents a 6-step laparoscopic technique for dissecting a central uterine band in a ventrofixed uterus, in order to minimize injury to adjacent structures during such procedures as repeat cesarean sections and hysterectomy.

Methods

The description of this laparoscopic surgical technique shows how the anatomically consistent avascular space beneath the uterine band was accessed via lateral dissection. An online video demonstrating the anatomy, anatomical free space, and secure dissection techniques is included.

Results

The proposed technique enables safe dissection of the uterine band and reduces the risk of bladder injury during uterine-preserving procedures. Accessing the anatomical free space via lateral dissection results in a safer operative

SUBMITTER: Rao T 

PROVIDER: S-EPMC10561766 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature