The peritoneal reflection between the round ligament [ligamentum (lig) teres uteri] (lateral) and infundibulopelvic
ligament (medial) is an easy way to enter the retroperitoneum (Figure 3).
During hysterectomy and with gynecologic surgery overall, ureteral injuries occur most commonly at three locations: at the level of the infundibulopelvic
ligament and ovarian vessels, at the level of the uterine artery, and near the vaginal cuff.
When OT occurs, the ovary typically rotates around both the infundibulopelvic
ligament and the utero-ovarian ligament.
Based on our observations, the ovaries remain much more movable after LH when compared to open approach (due to the skeletonization of infundibulopelvic
On the other hand, some evidence indicates that the viability of the uterus can be maintained with only two infundibulopelvic
ligaments, and live births have been reported in cases where the uterine arteries were not preserved [11, 13].
2) Two peritoneal folds run from this towards the infundibulopelvic
After confirming that the ureters are notinthe surgical site, an atraumatic vascular DeBakey clamp (Figure 1) is applied widely on both the infundibulopelvic
ligament and the uterine arteries (Figure 2).
IVP and CT also facilitate evaluation of diverticular position, degree of hydronephrosis, distance between the diverticular wall and the collecting system, length of the calyceal infundibulum, and renal pelvic infundibulopelvic
angle.[sup],,,,,,,,,, Long et al.
The PFTC is richly permeated with lymphatic channels that drain into the para-aortic lymph nodes through infundibulopelvic
lymphatics.5 The stage of disease at the time of diagnosis is the most important factor affecting the prognosis.
Zone III is the area between the uterosacral ligament inferiorly and the entire length of the fallopian tube and the infundibulopelvic
Havel and colleagues demonstrated that PNL has better outcomes than SWL for solitary, lower pole calculus.[sup.2] May and colleagues reported that PNL is better than SWL for treating lower pole calyceal stones over 2 cm.[sup.3] Since then, Albala and colleagues reported the results of a comparison between SWL and PNL for treating lower pole calyceal stones.[sup.4] They suggested poor stone-free clearance of SWL and introduced a technique for measuring various parameters related to lower calyx anatomy, such as lower pole infundibular length and width along with the lower pole infundibulopelvic
Common sites of injury were at the infundibulopelvic
ligament, between the infundibulopelvic
ligament and the uterine vessels, and at or below the uterine vessels.