 At this time, the attention was then turned to the vesicouterine peritoneum, which was tented up with Allis clamps and the bladder flap was then created sharply with Russian pickups and the Metzenbaum scissors. 
At this time , the attention was then turned to the vesicouterine peritoneum , which was tented up with Allis clamps and the bladder flap was then created sharply with Russian pickups and the Metzenbaum scissors .