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International Urogynecology Journal
Published in: International Urogynecology Journal 8/2019

01-08-2019 | Sacrocolpopexy | IUJ Video

A multipurpose uterine/vaginal manipulator for laparoscopic urogynecologic procedures

Authors: Gabriel N. Schaer, Dimitri Sarlos, Zaraq Khan

Published in: International Urogynecology Journal | Issue 8/2019

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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.
Appendix
Available only for authorised users
Literature
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.CrossRefPubMed
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.CrossRefPubMed
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.CrossRefPubMed
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.CrossRefPubMed
Metadata
Title
A multipurpose uterine/vaginal manipulator for laparoscopic urogynecologic procedures
Authors
Gabriel N. Schaer
Dimitri Sarlos
Zaraq Khan
Publication date
01-08-2019
Publisher
Springer International Publishing
Published in
International Urogynecology Journal / Issue 8/2019
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-019-03940-x

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