After obtaining
informed consent, the patient was taken to the operating
room and placed in the supine position, given general
anesthesia, and prepped and draped in sterile fashion.
A Pfannenstiel incision was made 2 cm above the
symphysis pubis and extended sharply to the rectus fascia.
The fascial incision was bilaterally incised with curved
Mayo scissors, and the rectus sheath was separated supe
riorly and inferiorly by sharp and blunt dissection. The
peritoneum was grasped between two Kelly clamps, ele
vated, and incised with a scalpel. The pelvis was examined
with the findings noted above. A Balfour retractor was
placed into the incision, and the bowel was packed away
with moist laparotomy sponges. Two Kocher clamps were
placed on the cornua of the uterus and used for retraction.
