190
Views
1
CrossRef citations to date
0
Altmetric
Original Articles

The use of the V-Care laparoscopic uterine manipulator to facilitate total abdominal hysterectomy: a novel approach and case-series

, , , &
Pages 537-540 | Published online: 04 Sep 2019
 

Abstract

Hysterectomy remains mostly performed via the abdominal route in the United Kingdom, despite advances in minimal access techniques and increased training in laparoscopic hysterectomy. The use of uterine manipulators remains a key component of the laparoscopic approach. During abdominal surgery, access to the pelvis can be challenging on occasion, and there may be a higher incidence of intraoperative complications. We describe the use of a laparoscopic uterine manipulator during total abdominal hysterectomy as a novel approach to facilitate the procedure by improving surgical exposure, reducing dissection, while safeguarding vital structures and maintaining vaginal length.

    Impact Statement

  • What is already known on the subject? Hysterectomy remains mostly performed via the abdominal route in the United Kingdom, despite advances in minimal access techniques and increased training in laparoscopic hysterectomy. The use of uterine manipulators remains a key component of the laparoscopic approach.

  • What do the results of this study add? We describe the use of a laparoscopic uterine manipulator during total abdominal hysterectomy as a novel approach to facilitate the procedure by improving surgical exposure, reducing dissection, while safeguarding vital structures and maintaining vaginal length.

  • What are the implications of these findings for clinical practice and/or future research? The proposed technique is safe, easily reproducible and could be widely adopted. This approach may be considered as an option in morbidly obese women or those women with anticipated complex pelvic pathology.

Acknowledgements

The medical photography department at the University Hospital of Wishaw, NHS Lanarkshire.

Disclosure statement

The authors declare that they have no conflict of interest.

Log in via your institution

Log in to Taylor & Francis Online

PDF download + Online access

  • 48 hours access to article PDF & online version
  • Article PDF can be downloaded
  • Article PDF can be printed
USD 65.00 Add to cart

* Local tax will be added as applicable

Related Research

People also read lists articles that other readers of this article have read.

Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine.

Cited by lists all citing articles based on Crossref citations.
Articles with the Crossref icon will open in a new tab.