. Gynecology : . IvOUYlbXiiQ. Fig. —Supravaginal Hysterectomy. Dissection of the uterovesical fold of peritoneum. The blades of the scissors are pushed under the peritoneum before cutting it, thus avoiding unnecessary bleeding. the bladder. The uterovesical reflection of peritoneum is picked up withthumb forceps close to the bladder, where it is loosely attached, and openedsufficiently to admit the end of a pair of blunt curved scissors, which are pushedunder the peritoneum to the cut surfaces on each side of the uterus (Fig. 374).This dissects up the peritoneum so that it is easily cut,
. Gynecology : . IvOUYlbXiiQ. Fig. —Supravaginal Hysterectomy. Dissection of the uterovesical fold of peritoneum. The blades of the scissors are pushed under the peritoneum before cutting it, thus avoiding unnecessary bleeding. the bladder. The uterovesical reflection of peritoneum is picked up withthumb forceps close to the bladder, where it is loosely attached, and openedsufficiently to admit the end of a pair of blunt curved scissors, which are pushedunder the peritoneum to the cut surfaces on each side of the uterus (Fig. 374).This dissects up the peritoneum so that it is easily cut, with the complete avoid-ance of bleeding. It is not necessary to dissect a flap of peritoneum on the posteriorwall of the uterus. The uterus is now ready for amputation. A half-length clamp is appliedto the left uterine vessels, where they ascend the uterus at the level of the 716 GYNECOLOGY internal os. A second, toothed, clamp- is applied to the same vessels f inchhigher on the uterine wall, and the vessels are severed cl
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