Sunil Balgobin, MD and Marlene M. Corton, MD, MSCS
Anterior colpotomy is one of the most difficult procedural steps to master during vaginal hysterectomy, and may be a major obstacle to more widespread use of the vaginal approach. Precise knowledge of surgical anatomy is essential for safe and proficient performance of this important step. The objectives of this video are to outline the anatomy of the vesicocervical space, demonstrate a dissection technique of anterior colpotomy, and present our results on the average distance from the cervico-vaginal junction to the anterior peritoneal reflection for vaginal hysterectomy. See the related article by Balgobin et al (October 2016 issue). Illustrations by Lewis E. Calver. Video created by Sunil Balgobin, MD and Marlene M. Corton, MD, MSCS. Used with permission.