Total hysterectomy with exposure of the ureter

Abstract

1. A reappraisal of the present-day techniques for total abdominal hysterectomy reveals that the time-honored principle of adequate exposure of vital structures is not practiced.2. The common denominators associated with urinary tract injury during pelvic operation can be overcome and specific injuries to the ureter and bladder virtually eliminated by the practice of a true anatomic pelvic dissection.3. The technique of a true anatomic dissection with exposure of the ureter during total abdominal hysterectomy is presented here.4. The advantages and disadvantages of the technique are discussed.