Checklist for Surgical Anatomy by Laparoscopy


 * 1) ___ anterior margin of bladder (possible site of perforation by suprapubic trochar)
 * 2) ___ peritoneal surface of bladder dome (site for endometriosis, site for supra pubic catheter insertion)
 * 3) ___ cervical margin of bladder ( incision site for bladder flap)
 * 4) ___ left round ligament
 * 5) ___ left inguinal ring (site for possible inguinal hernia)
 * 6) ___ left median umbilical ligament and inferior epigastric vessels (possible perforation of vessels lateral to ligament)
 * 7) ___ right median umbilical ligament and inferior epigastric vessels (possible perforation of vessels lateral to ligament)
 * 8) ___ right round ligament
 * 9) ___ right inguinal ring (site for possible inguinal hernia)
 * 10) ___ cul de sac (site for possible endometriosis)
 * 11) ___ posterior uterine wall (site for possible endometriosis)
 * 12) ___ left sigmoid reflection (often mistaken for pelvic adhesions)
 * 13) ___ left fimbria ovarica (site for injection of pitressin solution in ectopic removal)
 * 14) ___ left fimbria (site of tubal occlusion in pelvic inflammatory disease)
 * 15) ___ left tubal ampula (most common site of tubal ectopic pregnancy)
 * 16) ___ left tubal isthmus (site for tubal ligation 2-3 cm from cornua)
 * 17) ___ left corneal tubal insertion and adjacent space between tube and round ligament (site for pitressin injection for ectopic pregnancy removal)
 * 18) ___ left infundibulopelvic ligament (site for ligation of ovarian blood supply and injury to proximal ureter)
 * 19) ___ left ovary anterior and posterior surface and hilum (hilum is site for compromise of ovarian blood supply in cystectomies)
 * 20) ___ left utero ovarian ligament (site to grasp to stabilize ovary for ovarian cystectomy)
 * 21) ___ left posterior leaf of broad ligament (site for endometriosis, ovarian adhesions and broad ligament windows)
 * 22) ___ left ureter coursing toward trigone under uterine artery/vein (site for ureter injury during hysterectomy)
 * 23) ___ left uterosacral ligament anterior and posterior attachments (site for resupport of prolapsed uterus or vaginal vault)
 * 24) ___ proximity of left ureter to uterosacral ligament (site for possible kinking of ureter with uterosacral vault suspension or culdoplasty)
 * 25) ___ insertion of left uterosacral ligament into cervix (site for reattachment of uterosacral ligaments for uterine suspension)
 * 26) ___ insertion of right uterosacral ligament into cervix (site for reattachment of uterosacral ligaments for uterine suspension)
 * 27) ___ right uterosacral ligament anterior and posterior attachments (site for resupport of prolapsed uterus or vaginal vault)
 * 28) ___ proximity of right ureter to uterosacral ligament (site for possible kinking of ureter with uterosacral vault suspension or culdoplasty)
 * 29) ___ right ureter coursing toward trigone under uterine artery/vein (site for ureter injury during hysterectomy)
 * 30) ___ right posterior leaf of broad ligament (site for endometriosis, ovarian adhesions and broad ligament windows)
 * 31) ___ right utero ovarian ligament (site to grasp to stabilize ovary for ovarian cystectomy)
 * 32) ___ right ovary anterior and posterior surface and hilum (hilum is site for compromise of ovarian blood supply in cystectomies)
 * 33) ___ right infundibulopelvic ligament (site for ligation of ovarian blood supply and injury to proximate ureter)
 * 34) ___ right corneal tubal insertion and adjacent space between tube and round ligament (site for pitressin injection for ectopic pregnancy removal)
 * 35) ___ right tubal isthmus (site for tubal ligation 2-3 cm from cornua)
 * 36) ___ right tubal ampula  (most common site of tubal ectopic pregnancy)
 * 37) ___ right fimbria (site of tubal occlusion in pelvic inflammatory disease)
 * 38) ___ right fimbria ovarica
 * 39) ___ right internal iliac vein/artery (terminates as the uterine artery)
 * 40) ___ right external iliac vein/artery (terminates as the femoral vein/artery, can be injured by Verhees needle)
 * 41) ___ right ureter crossing external iliac vein (easiest location to visualize ureter descending into pelvis)
 * 42) ___ common iliac vein (can be injured by Verhees needle)
 * 43) ___ sacral promontory (landmark for opening presacral space for abdominosacral colpopexy or presacral neurectomy)
 * 44) ___ middle sacral vein ( site for hemorrhagic injury during abdominosacral colpopexy or presacral neurectomy)
 * 45) ___ femoral nerve exiting psoas muscle (site for nerve injury from lateral retractor blades)
 * 46) ___ cecum and appendix if present (site of possible endometriosis, inflamed appendix)
 * 47) ___ liver (site for adhesions due to pelvic inflammatory disease)
 * 48) ___ gall bladder
 * 49) ___ falciform ligament (can be mistaken for adhesions)
 * 50) ___ stomach (possible site for trochar injury if left upper quadrant insertion)