From Society of Gynecologic Surgeons

The surgical approach to the obliterated anterior cul-de-sac

OBG Manag. 2021 March;33(3)
By
Chetna Arora, MD
Jin Hee Kim, MD
Arnold P. Advincula, MD
Author and Disclosure Information

Brought to you by the Society of Gynecologic Surgeons. In this video, the authors illustrate the surgical techniques used to restore normal anatomy in an obliterated anterior cul-de-sac (OAC). An OAC is defined by the complete loss of the vesicouterine avascular space due to dense adhesive disease that is causing distortion of normal anatomy. They demonstrate 7 key surgical steps to safely develop this once-avascular space.

 

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