FIGURE 5 The left uterine artery is elevated and a monopolar spatula has been used to separate the artery from the left ureter.

FIGURE 6 The left uterine artery is safely and selectively divided with a vessel sealing device.

FIGURE 7 Once the uterine artery is divided the ureter is displaced laterally away from the cervix.

FIGURE 8 The left ureter has been “rolled away” from the cervix to allow a safe division of the left cardinal ligament. The medial segment of the transected left uterine artery is being held by a PK grasper.

FIGURE 9 The left cardinal ligament is being divided with a vessel sealing device after transection of the left uterine artery and lateral displacement of the left ureter, preventing a ureteral injury.