Advertisement

A multipurpose uterine/vaginal manipulator for laparoscopic urogynecologic procedures

  • Gabriel N. SchaerEmail author
  • Dimitri Sarlos
  • Zaraq Khan
IUJ Video
  • 26 Downloads

Abstract

Introduction and hypothesis

The use of an appropriate uterine manipulator is key to various laparoscopic gynecologic procedures. Adequate uterine manipulation is important for total or supracervical laparoscopic hysterectomies, laparoscopic sacrocolpopexy as well as laparoscopic repair of vaginal vault prolapse. While several uterine manipulators are available to choose from, their use may be specific to certain procedures and their cost may vary as well.

Methods

This video aims to provide an introduction to a multipurpose, reusable uterine/vaginal manipulator that can be used for laparoscopic supracervical hysterectomy, laparoscopic sacrocolpopexy, laparoscopic hysteropexy as well as laparoscopic repair of vaginal vault prolapse.

Results

The video highlights the user-friendly, easy-to-clean, reusable, multipurpose uterine/vaginal manipulator.

Conclusions

The manipulator is designed for an efficient combination of laparoscopic urogynecologic procedures and supracervical hysterectomy.

Keywords

Uterine manipulator Vaginal manipulator Laparoscopic Sacrocolpopexy Laparoscopic supracervical hysterectomy Laparoscopic repair of vaginal vault prolapse Hysteropexy Uterovaginal prolapse 

Notes

Compliance with ethical standards

Conflicts of interest

The first author is, together with Karl Storz, the developer of the instrument. Royalties go to the employer/hospital. Therefore, there is no financial conflict of interest of the first or other two authors.

Consent

Written informed consent was obtained from the patient for publication of this video article and any accompanying images.

Supplementary material

ESM 1

(MP4 57593 kb)

References

  1. 1.
    van den Haak L, Alleblas C, Nieboer TE, Rhemrev JP, Jansen FW. Efficacy and safety of uterine manipulators in laparoscopic surgery: a review. Arch Gynecol Obstet. 2015;292(5):1003–11.CrossRefGoogle Scholar
  2. 2.
    Croft K, Mattingly PJ, Bosse P, Naumann RW. Physician education on controllable costs significantly reduces cost of laparoscopic hysterectomy. J Minim Invasive Gynecol. 2017;24(1):62–6.CrossRefGoogle Scholar
  3. 3.
    Murphy M, Holzberg A, van Raalte H, Kohli N, Goldman HB, Lucente V, et al. Time to rethink: an evidence-based response from pelvic surgeons to the FDA safety communication: “UPDATE on serious complications associated with transvaginal placement of surgical mesh for pelvic organ prolapse”. Int Urogynecol J. 2012;23(1):5–9.CrossRefGoogle Scholar
  4. 4.
    Schaer GN, Koechli OR, Haller U. Single-use versus reusable laparoscopic surgical instruments: a comparative cost analysis. Am J Obstet Gynecol. 1995;173(6):1812–5.CrossRefGoogle Scholar

Copyright information

© The International Urogynecological Association 2019

Authors and Affiliations

  1. 1.Department of Obstetrics and GynecologyKantonsspital AarauAarauSwitzerland
  2. 2.Department of Obstetrics and GynecologyMayo ClinicRochesterUSA

Personalised recommendations