The surgical approach to the obliterated anterior cul-de-sac
Brought to you by the Society of Gynecologic Surgeons. In this video, the authors illustrate the surgical techniques used to restore normal anatomy in an obliterated anterior cul-de-sac (OAC). An OAC is defined by the complete loss of the vesicouterine avascular space due to dense adhesive disease that is causing distortion of normal anatomy. They demonstrate 7 key surgical steps to safely develop this once-avascular space.

Additional videos from SGS are available here, including these recent offerings:
• A minimally invasive modification for fascia lata mid-urethral sling
• Retroperitoneal anatomy and parametrial dissection in robotic uterine artery-sparing radical trachelectomy
• Maintaining and reclaiming hemostasis in laparoscopic surgery