*3.2.4 Disconnecting the inferior connective vascular pedicle*

The inferior connective vascular pedicle contains *a vascular part* represented by a descending branch of the uterine artery, cervicovaginal vessels, vaginal artery and veins, and the *fibrous supporting System* of the uterus that contains the cardinal uterosacral complex (CUSC).

For the ascendant branch of the uterine artery hemostasis is done with the bipolar clamp placed perpendicular to the axis of the uterus. For cervicovaginal vessels, coagulation and sectioning of are done parallel to the uterine axis. Usually, we do not coagulate and section the uterosacral ligaments separately. In some cases, with a big uterus, the coagulation and section of the uterosacral ligaments can help mobilize the uterus and facilitate the colpotomy (**Figure 18**).
