Atlas of the Original Okabayashi’s Transabdominal Radical Hysterectomy

  • Shingo Fujii
  • Kentaro Sekiyama


The abdomen is opened by a midline incision which should be made a sufficient length to secure free exposure of the operative field. (This usually extends from the symphysis to above the umbilicus.)


Okabayashi’s radical hysterectomy Paravesical space Pararectal space Cardinal ligament Anterior (ventral) leaf of vesicouterine ligament Okabayashi’s paravaginal space Posterior (dorsal) leaf of vesicouterine ligament Rectovaginal ligament Paracolpium 

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© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  • Shingo Fujii
    • 1
  • Kentaro Sekiyama
    • 2
  1. 1.Department of Gynecology and ObstetricsKyoto UniversityKyotoJapan
  2. 2.Department of Obstetrics and GynecologyKitano HospitalKita-kuJapan

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