Introduction The complexity of pelvic anatomy renders abdominal radical hysterectomy susceptible to bleeding. This study examines the potential clinical application of the membrane anatomy concept in radical abdominal hysterectomy. Furthermore, pelvic floor dysfunction frequently occurs following radical hysterectomy, with uterosacral ligament suspension offering symptomatic relief.

Description The membrane anatomy concept for radical hysterectomy entails the comprehensive removal of tissues and organs within the embryonic unit of the paramesonephric ducts. This includes a portion of the pelvic autonomic nerves in the fascial fusion space of the embryonic unit, as well as the primary trunk and branches of the uterine arteries and veins. Laparoscopic monitoring enables clear visualization during abdominal surgery. Concurrently, uterosacral ligament suspension can be easily performed.

Conclusion/Implications Employing the membrane anatomy concept in radical hysterectomy results in minimal intraoperative bleeding, which proves advantageous in maintaining a clear surgical field anatomy, adhering to the ‘tumor-free principle’ of surgery, and reducing the incidence of surgical complications and patient hospitalization time. This approach renders the surgery safe and feasible. Additionally, incorporating uterosacral ligament suspension during the procedure exhibits satisfactory short-term outcomes, alleviating the principal symptoms of pelvic floor dysfunction after radical hysterectomy.