Novel Points of Okabayashi’s Radical Hysterectomy

In the tissue of the paracervix, Okabayashi found a loose connective tissue space. The space is named as Okabayashi’s paravaginal space (Figure 5.1a, b). By insinuation of scissors into the space, the paracervix is separated into the posterior (dorsal) leaf of the vesicouterine ligament and the vaginal blood vessels (paracolpium).