Curved Ochsner clamps were placed against the sides of the lower uterine segments near the cervix to clamp the uterine arteries on either side. A second clamp was placed above the first. Securing the uterine arteries right on the neck of the uterus helps prevent ureteral injury.
The peritoneum between cervix and bladder anteriorly and between rectum and vagina posteriorly was incised, connecting the broad ligament incisions on either side. The pubocervical fascia was incised anteriorly and the upper vagina separated from the bladder. The rectovaginal space was developed posteriorly. The uterosacral and adjacent cardinal ligaments were divided between clamps and suture ligated, freeing the cervix and upper vagina. The clamps point to the location of the cervix.
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