However, due to medical comorbidities, intolerance of systemic drug therapy, patient preference, and progression selleck chem Trichostatin A of disease, minimally invasive methods may be utilized in these scenarios. These techniques are becoming more applicable for the treatment of patients with metastatic disease and give the option of less invasive surgical approaches for palliation and local control. With the advancement of research and technology, new and innovative minimally invasive procedures are continually being developed and will benefit increasing numbers of patients with metastatic disease. Conflict of Interests The authors declare that there is no conflict of interests regarding the publication of this paper.

Years after surgical procedures are performed, operative reports are often the only source of information another surgeon possesses when attempting to understand the history and internal anatomy of a patient. Evidence shows that a structured format for documenting findings improves overall accuracy of reporting and, by extension, is likely to improve patient outcomes [1, 2]. An appropriately detailed report may greatly improve treatment strategy and general preparedness for a case, theoretically leading to better patient safety and care. While efforts have been made in the general surgical field to improve and standardize operative reports, these efforts are still lacking in gynecology surgery. Pelvic anatomy is unique in that various pathologies can be missed if not intentionally sought out for identification.

These anatomical characteristics could influence the detailed description of pelvic findings during surgery in general and, more specifically, during laparoscopy. Classically the pelvis is divided into a true and false pelvis. While the false pelvis is the space enclosed by the pelvic girdle above and in front of the pelvic brim and considered part of the abdominal cavity, the true pelvis includes the genital tract midline between the lower end of the urinary tract anteriorly and the gastrointestinal tract posteriorly. The ligamentary attachments of the female genital organs add to the anatomical uniqueness of the pelvis. For instance, the round ligament, which extends from the cornua to the internal ring, could harbor pathology from its origin to its insertion. The uterosacral ligaments and the suspensory ligaments of the ovary are often inspected but not described. Other anatomically obscure locations include the ovarian fossa, the lateral pelvic sidewall, and the area inferior to the uterosacral AV-951 ligament. The objective of this study is to propose a method for systematic pelvic assessment based on anatomical landmarks and structured documentation with laparoscopic photography.