Techniques for difficult dissection of the bladder from the lower uterine segment in a patient with distorted myometrial-endometrial anatomy

Key Points

• Difficulties arise in creating the vesicovaginal space due to the distorted anatomy.
• Specific techniques can aid in safe dissection, addressing complications from previous surgeries.
• Assessment involves analyzing cases with repetitive abdominal surgeries and their anatomical implications.
• Findings may inform best practices in surgical settings, optimizing patient outcomes in complex cases.