Panoramic view of the pelvis Inspection of the pelvis should include the lower anterior and lateral abdominal wall, anterior cul-de-sac, uterus and supporting ligaments, adnexae, pelvic sidewalls, posterior cul-de-sac, rectosigmoid and posterior abdominal wall up to the bifurcation of the aorta. Use the uterine manipulator to aid in pelvic inspection.
Use the suction/irrigation cannula as a probe and to maintain a clear field.
Posterior cul-de-sac - Endometriosis The posterior cul-de-sac appears normal. Inspection cannot be considered to be complete until all hidden areas are clearly visualized with the aid of the cannula.