FIG. 9.

The same patient as in Figures 7 and 8. (A) After complete exposure of the anterior uterine wall, only the vesicovaginal ligament is preserved. (B) A probe is inserted into the cervix and (C) directed into the uterine cavity under laparoscopic guidance. The defect is bridged by the probe and closed easily by making intracorporeal full-thickness sutures to the wall. (D) Hysteroscopic view of placental remnants, which may then be removed in a stepwise manner. After closure of the defect there is no further leakage and the dilution medium permits intrauterine vision.