Total laparoscopic hysterectomy with myoma screw without uterine manipulator
by RK Mishra

Textbook of Laparoscopy for Surgeons and Gynecologists

by RK Mishra
About Video

This study is to evaluate the feasibility and safety of a total laparoscopic hysterectomy (TLH) without the use of a uterine manipulator in women with benign indications for hysterectomy. Uterine manipulation is essential for laparoscopic hysterectomy procedures involving dissection of the female pelvis. Several uterine manipulators are available to help maneuver the uterus facilitation proper dissection in the pelvis. At our World Laparoscopy Hospital, routinely in female where cervical manipulation is not possible doctor use the myoma screw for uterine manipulation during total laparoscopic hysterectomy or surgery for cervical, bladder, and rectal cancers. However, its use is avoided in two situations. First, in endometrial cancer, where the peritoneal spread of tumor cells is feared. Second, in patients with pyometra in cervical cancer, where insertion of the screw would lead to spillage of pus into the abdominal cavity.

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