PMC6778939_01
Positioning of the patient in a dorsal low lithotomy position.
CRIVEM2019-7492910.001.jpg
PMC6778939_01_CRIVEM2019-7492910.001.jpg
fig1
See Figure 1 for positioning.
Draping of the patient.
CRIVEM2019-7492910.002.jpg
PMC6778939_01_CRIVEM2019-7492910.002.jpg
fig2
See Figure 2 for draping.
Intra-abdominal view of the pelvis. In the top left corner is the bladder, and the bottom left corner is the colon. The fallopian tube can be seen resting on the omentum in the bottom right.
CRIVEM2019-7492910.003.jpg
PMC6778939_01_CRIVEM2019-7492910.003.jpg
fig3
At this point, the bladder was identified; however, its anterior and cephalic position in the chimpanzee species made visualization of the operative field difficult (see Figure 3).
View of the pelvis following suprapubic drainage of the bladder, as well as the hemostatic site of lysis of adhesions (white), and colon on the left side.
CRIVEM2019-7492910.004.jpg
PMC6778939_01_CRIVEM2019-7492910.004.jpg
fig4
A 5 mm fanning paddle retractor was inserted and used to successfully move the bowel laterally away from the operative field and protect the bowel from injury.  Figure 4 shows the pelvis after drainage of the bladder and displacement of the bowel.
The tube is elevated and the fimbriae and ovary are seen to the right of the isthmus of the tube. The uterine fundus is just visible under a layer of bowel fat.
CRIVEM2019-7492910.005.jpg
PMC6778939_01_CRIVEM2019-7492910.005.jpg
fig5
See Figure 5.