Surgical Technique Video Article: Dissection and Demonstration of Pelvic Sidewall Anatomy as a Key Knowledge Tool for Gynaecologists

Abstract

Gynaecology is a vast speciality, with increasing sub specialisation in recent years, including maternal and fetal medicine, reproductive medicine and infertility, gynecological oncology, uro- gynaecology, and minimally invasive benign gynaecology among others.^[1] Endometriosis surgery is another rapidly evolving field, and along with gynaecological oncology, is demanding of extensive knowledge of  pelvic anatomy as well as upper abdomen anatomy. Even for benign gynaecology with large broad ligament fibroids, or intractable PPH in Obstetrics, bilateral internal iliac artery ligation bilaterally by pelvic sidewall dissection skills, is mandatory and lifesaving.^[2,3]

This surgical technique article depicts step by step dissection (10 steps) of the pelvic sidewall and anatomy demonstration for safe completion of surgery, whether in uterine/ cervical cancer staging surgery with lymphadenectomy, or parametrial endometriosis or bilateral internal iliac artery ligation during PPH not controlled medically.