Surgical Film Library-Neurovascular Anatomy of the Para-Cervical/upper-vaginal area for Radical Hysterectomy

Neurovascular Anatomy of the Para-Cervical/upper-vaginal area for Radical Hysterectomy

Video Transcription

Video Summary

This video demonstrates the surgical anatomy of the parasympathetic and upper vaginal region, emphasizing its simplicity contrary to common belief. Key steps include developing paravaginal and paralectal spaces, isolating and dividing the deep uterine vein, and rotating the ureter toward the inguinal side to reveal the dorsal layer of the vesicular uterine ligament and Okabayashi paravaginal space. Identification and careful division of veins and nerves—including the hypogastric nerve, pelvic splanchnic nerve, and uterine branch—preserves critical structures like the inferior hypogastric plexus. The procedure highlights clear anatomical boundaries, facilitating safe hysterectomy with minimal complications.

Asset Subtitle

Shingo Fujii, Japan

Meta Tag

Procedure Type Hysterectomy

Route Open

Skill Level Expert

Surgical Location Pelvis

Keywords

Open

Pelvis

Hysterectomy

Expert

surgical anatomy

parasympathetic region

upper vaginal region

hysterectomy procedure

inferior hypogastric plexus

Shingo Fujii