Once the round ligaments
are transected, the vessel sealer is replaced with the monopolar scissors.
At laparotomy the round ligaments
and fallopian tubes were noted to be pulled down within the cervical ring (Figure 4).
The UPLIFT procedure is a simple surgical procedure that shortens and strengthens the round ligaments
to reposition a tipped uterus to a normal position.
Additionally, the uterus is restored to its correct anatomic position by shortening the round ligaments
The broad and round ligaments
then are coagulated and transected, and the bladder flap is developed.
Laparotomy was performed and the round ligaments
were ligated and divided in order to reduce the time needed for hysterectomy in case of excessive bleeding.
We do not dissect the round ligaments
, vesicouterine space, or ureters.
The round ligaments
, tubes, and uteroovarian pedicle are then desiccated on the specimen side to limit back-bleeding.
Follow the round ligaments
medially, and they will lead you to the appropriate area to begin the operation.