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. 2021 Oct 12;7(Suppl 2):S57–S69. doi: 10.1055/s-0041-1736176

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The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ )

This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.

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Fig. 25 — Treatment of the rectovaginal ligament. The operator inserts one finger into the pararectal space (Okabayashi) and another into the pararectal space (Latzko's space), pushing the rectum medially and the hypogastric nerve laterally. The rectovaginal ligament between the two fingers is clamped, cut, and ligated. The procedure is repeated several times, until the cutline reaches to the cut end of cardinal ligament.