ABSTRACT

Apart from the different approach conditions and angles of view, the anatomy of vaginal surgery is the same as that of conventional abdominal surgery: one will thus encounter the paravisceral fossae of Latzko, as well as the septa that are familiar to abdominal surgeons. The one basic difference is the effect of the tensions exerted on the uterine cervix, based on its connection to the bladder, as well as on the position of the ureter. Bladder injuries are relatively frequent in vaginal surgery, while damage to the ureter is relatively rare: adequate knowledge of the anatomy will prevent both.