Using Uterine Manipulator VMG 3-AA in Total Laparoscopic Hysterectomy in Patients with Large Uterine Fibroids

2013 ◽  
Vol 20 (6) ◽  
pp. S155
Author(s):  
L. Adamyan ◽  
S. Kiselev ◽  
A. Stepanian ◽  
A. Arakelyan
Keyword(s):  
Uterine Fibroids ◽  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Uterine Manipulator

Uterine manipulator in total laparoscopic hysterectomy: safety and usefulness

2019 ◽  
Vol 72 (4) ◽  
pp. 1247-1254 ◽  
Author(s):  
Yara Abdel Khalek ◽  
Roger Bitar ◽  
Costas Christoforou ◽  
Simone Garzon ◽  
Alessandro Tropea ◽  
...  
Keyword(s):  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Uterine Manipulator

scholarly journals Feasibility and safety of total laparoscopic hysterectomy for huge uteri without the use of uterine manipulator: description of emblematic cases

2018 ◽  
Vol 15 (1) ◽  
Author(s):  
Antonio Macciò ◽  
Clelia Madeddu ◽  
Paraskevas Kotsonis ◽  
Giacomo Chiappe ◽  
Fabrizio Lavra ◽  
...  
Keyword(s):  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Uterine Manipulator

scholarly journals A novel approach to minimally invasive hysterectomy without the use of a uterine manipulator: Kamran’s TLH technique

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Ahmed M. Gendia ◽  
Noel E. Donlon ◽  
Waseem M. Kamran
Keyword(s):  
Minimally Invasive ◽  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Uterine Manipulator ◽  
Operative Duration ◽  
Novel Technique ◽  
Novel Approach ◽  
Minimally Invasive Hysterectomy

Abstract Background There are a number of techniques documented in the literature to perform laparoscopic hysterectomy, and here, we propose a safe and novel technique that obviates the need for a pelvic assistant, removes the need for a uterine manipulator and can potentially reduce operative duration. Results Total laparoscopic hysterectomy can be approached without the use of uterine manipulator or vaginal tubes using the steps demonstrated. Conclusions This novel technique is safe, efficient and conducive to standardising minimally invasive hysterectomy practices obviating the need for a uterine manipulator and pelvic assistant.

scholarly journals A novel approach to minimally invasive hysterectomy without the use of a uterine manipulator: Kamran’s TLH

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Ahmed M. Gendia ◽  
Noel E. Donlon ◽  
Waseem M. Kamran
Keyword(s):  
Operative Time ◽  
Intraoperative Complications ◽  
Postoperative Outcome ◽  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Postoperative Course ◽  
Conversion To Open Surgery ◽  
Uterine Manipulator ◽  
Novel Approach ◽  
Minimally Invasive Hysterectomy

Abstract Background Hysterectomy remains one of the most common major gynaecological procedures, with total laparoscopic hysterectomy (TLH) now established as the technique of choice over conventional open approaches. This approach depends on the use of a uterine manipulator to facilitate uterine retraction and colpotomy. This study describes a novel approach in performing total laparoscopic hysterectomy without the use of uterine manipulator or vaginal tubes and reports the intra- and postoperative outcome of this technique. Methods A single-centre retrospective analysis of patients who underwent TLH without uterine manipulator or vaginal tube “Kamran’s TLH” for benign conditions was performed from January 2017 to October 2019. Data collected included patients’ demographics, intraoperative finding and postoperative course. Results A total of eighty-six hysterectomies were performed utilizing the Kamran’s TLH (KTLH) approach. Mean age was 52.2 (± 11) years old and BMI was 28.2 (± 7). TLH with bilateral salpingo-oophorectomy was performed in 63 (73.3%) patients and TLH with preservation of ovaries in 23 (26.7%) patients. Mean operative time was 64.7 (± 27.9) min and estimated bloods loss was 46.2 (± 54.6) ml. No intraoperative complications were recorded and there was no conversion to open surgery. Only one patient required readmission and surgery for vaginal vault dehiscence during their postoperative course. Conclusion Uterine manipulator is a key component in performing laparoscopic hysterectomy. However, our approach demonstrated that TLH can be safely performed without the use of any uterine or vaginal manipulation.

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