Publication:
Clermont-Ferrand versus vectec uterine manipulator for total laparoscopic hysterectomy

dc.contributor.coauthorBoza, Aysen
dc.contributor.departmentKUH (Koç University Hospital)
dc.contributor.departmentSchool of Medicine
dc.contributor.kuauthorMısırlıoğlu, Selim
dc.contributor.kuauthorTaşkıran, Çağatay
dc.contributor.kuauthorUrman, Cumhur Bülent
dc.contributor.schoolcollegeinstituteKUH (KOÇ UNIVERSITY HOSPITAL)
dc.contributor.schoolcollegeinstituteSCHOOL OF MEDICINE
dc.date.accessioned2024-11-09T23:54:38Z
dc.date.issued2019
dc.description.abstractObjective: To compare the operation time and performance of two uterine manipulators used for total laparoscopic hysterectomy (TLH). Material and methods: Design: Retrospective cohort analysis. Design classification: Canadian Task Force Classification II-2. Setting: Tertiary-care university-based teaching hospital and academic affiliated private hospital. Patients: All consecutive patients who underwent for TLH between January 2014 and June 2017. All operations were performed by two expert endoscopic surgeons using one of the following uterine manipulators depending on surgeon preferences: Clermont-Ferrand (CF) or Vectec (VT) MAUT60. Patients were excluded if additional surgeries such as urogynecological procedures were performed, TLH was converted to laparotomy prior to colpotomy, and when their operation records could not be obtained. A total of 169 patients were added to final analysis. Operation time, colpotomy time and the subjective performance of manipulators such as movement of the uterus, visualization of the vaginal fornices, and maintenance of pneumoperitoneum were evaluated by watching un-edited operation videos. Results: A total of 169 patients (83 patients in CF group; 86 patients in VT group) were included in the final analysis. Patients' baseline characteristics were comparable between groups. Operation time and time required for colpotomy were significantly shorter in the VT group. Lateral movements of the manipulators and elevation of the uterus were better with VT compared to CF (p = .001 for both). Compared to the CF, VT was superior for visualization of the vaginal fornices (p = .004) and maintenance of pneumoperitoneum (p < .001). Both surgeons had perfect agreement on the performance grading of manipulators (p < .001, Kappa values were between 0.86-0.92). There was no difference between groups in estimated blood loss and duration of hospital stay. Reinsertion or the need to change the manipulator was not required in either group. No pelvic or vaginal abscess, cuff cellulitis, dehiscence, or hematoma formations were noted. Conclusion: Laparoscopic hysterectomy assisted with the VT uterine manipulator is associated with shorter operation and colpotomy time. Furthermore, the movements of uterus, visualization of the vaginal fornices, and maintenance of pneumoperitoneum were significantly better with VT compared to the CF manipulator.
dc.description.indexedbyWOS
dc.description.indexedbyScopus
dc.description.indexedbyPubMed
dc.description.issue1
dc.description.openaccessNO
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.description.volume28
dc.identifier.doi10.1080/13645706.2018.1471404
dc.identifier.eissn1365-2931
dc.identifier.issn1364-5706
dc.identifier.scopus2-s2.0-85047004382
dc.identifier.urihttps://doi.org/10.1080/13645706.2018.1471404
dc.identifier.urihttps://hdl.handle.net/20.500.14288/15235
dc.identifier.wos459467000009
dc.keywordsInstruments
dc.keywordsMinimally invasive surgery
dc.keywordsLaparoscopic instruments
dc.keywordsInnovation hohl İnstrument
dc.keywordsRumi manipulator
dc.keywordsSafety
dc.language.isoeng
dc.publisherTaylor & Francis Ltd
dc.relation.ispartofMinimally Invasive Therapy & Allied Technologies
dc.subjectSurgery
dc.titleClermont-Ferrand versus vectec uterine manipulator for total laparoscopic hysterectomy
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorMısırlıoğlu, Selim
local.contributor.kuauthorTaşkıran, Çağatay
local.contributor.kuauthorUrman, Cumhur Bülent
local.publication.orgunit1SCHOOL OF MEDICINE
local.publication.orgunit1KUH (KOÇ UNIVERSITY HOSPITAL)
local.publication.orgunit2KUH (Koç University Hospital)
local.publication.orgunit2School of Medicine
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