ABSTRACT
Pelvic and para-aortic lymphadenectomy is accomplished before or after hysterectomy and bilateral oophorectomy. The initial approach to pelvic lymphadenectomy is to expose the anterior and posterior leaves of the broad ligament by incising the round ligament and cutting the broad ligament in a cephalad fashion lateral and parallel to the infundibulopelvic ligament (Figure 4).
