Here, each step--ligation of the left uterine vessels, then the right uterine vessels, the bilateral low vessels, the unilateral infundibulopelvic
, and the contralateral infundibulopelvic
--is performed one at a time until the bleeding stops (Am.
2,12] Albala and colleagues suggested selective treatment for lower pole calculi, while considering renal anatomy and various anatomical parameters, such as lower pole infundibular length and width and the lower pole infundibulopelvic
8), (12) The significant effect of infundibular length, width (gravity non-related factors), and infundibulopelvic
angle (gravity related factors) on the stone clearance following SWL or ureteroscopy were reported.
Next, if the adnexa are to be removed, the infundibulopelvic
ligament is desiccated.
When performing vaginal hysterectomy with bilateral salpingo-oophorectomy, if the vagina is deep and narrow, it is sometimes difficult to pass the suture around the clamp holding the infundibulopelvic
ligament, says Dr.
The three most common sites for a surgeon to accidentally nick a ureter are within 4 cm of the entrance of the ureters into the bladder, at the level of the uterine artery due to unintentional damping of the ureter instead of the blood vessel, and at the infundibulopelvic
Laparoscopic techniques can be used to ligate the infundibulopelvic
ligaments or the uteroovarian ligaments, uterine arteries, and cardinal ligaments, which theoretically should make the vaginal approach easier and increase its utilization, said Dr.
These are the two triangles (one on each side) formed by the vaginal angle, the round ligament pedicle, and the infundibulopelvic
ligament pedicle (or the ovarian pedicle if the ovary is not removed).
During the early hours of December 28 she was taken by ambulance to Fairfax Hospital's emergency room, where it was discovered that she had sustained a ten-to-twelve centimeter laceration of the uterus, which extended into the cervix, a four-to-five cm tear of the sigmoid colon, a tear of the right infundibulopelvic
ligament, damage to the ovaries, significant blood loss, sepsis, and hemorrhagic/septic shock.
Laparoscopic findings included a markedly edematous left tube, left broad ligament, and left proximal round ligament, marked dilation of the vessels in the left broad ligament and infundibulopelvic
ligament and a 2 cm x 2 cm x 3 cm mass protruding from the left posterior wall of the uterus (See Figure 2).
To desiccate the vessels, place the bipolar as follows: infundibulopelvic
ligament--ipsilateral; utero-ovarian ligament--contralateral; uterine vessels--ipsilateral.
Dissection through cuff closure I start all my cases on the right side, holding the infundibulopelvic
(IP) or utero-ovarian ligament on tension and skeletonizing it.