An anatomical approach to oophorectomy during vaginal hysterectomy.

Oophorectomy is not always performed at the time of vaginal hysterectomy because of technical difficulties encountered in visualizing the ovaries and clamping and ligating the infundibulopelvic ligament. After uterine removal, a method that simplifies the approach involves separating the round ligament along the avascular space from the fallopian tube and ovary, then ligating the infundibulopelvic ligament separately from the round ligament, rather than clamping and ligating the infundibulopelvic and round ligaments together.