Abstract:

As technology has evolved, so has the ability to perform a hysterectomy in a minimallly invasive fashion. Currently, total laparoscopic hysterectomy has been further advanced with the advent of uterine manipulation devices that incorporate the use of a cupped colpotomizer. Unfortunately, many gynecologic surgeons lack the understanding of how to fully utilize such a surgical guide to facilitate development of the vesico-uterine reflection, skeletonize uterine vasculature, gain entry into the vagina, and subsequently close the vaginal cuff. Safe completion of these steps has the potential to minimize complications such as ureteral and bladder injury in addition to vaginal cuff dehiscence. The following technical review will address methods for the safe and effective use of various cupped colpotomizer devices during total laparoscopic hysterectomy.

Authors:

Tiffany Jackson, MD, Fellow, Minimally Invasive Gynecologic Surgery, Florida Hospital Celebration Health Celebration, Florida, Arnold P. Advincula, MD, FACOG, FACS, Professor of Obstetrics and Gynecology University of Central Florida College of Medicine, Medical Director, Gynecologic Robotics at Global Robotics Institute, Director, Celebration Health Endometriosis Center, Director, AAGL/SRS MIS Fellowship,Florida Hospital Celebration Health, Celebration, Florida

PMID: 23292676

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