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Jinekolojik laparoskopinin anahtar enstrümanları: Uterin manipülatörler

Year 2019, Volume: 1 Issue: 1, 12 - 21, 30.12.2019

Aysel Nalçakan Ömer Lütfi Tapısız Sadiman Kiykac Altinbas

Abstract

Uterin manipülatörler, ileri seviyedeki jinekolojik laparoskopik prosedürlerin çoğunda tanısal değerlendirme veya cerrahi yaklaşımlar için kullanılmaktadır. Operasyon esnasında uterusun mobilizasyonunu sağlayarak, operatörün anatomik yapılara (vasküler pedikül, ligament, vajinal duvarlar vb.) erişmesini sağlarlar. Uterin manipülatörler, tüm histerektomilerde özellikle de zor histerektomilerde, myomektomi, endometriozis, pelvik restorasyon ve infertilite operasyonlarında kullanışlı ve vazgeçilmez enstrümanlardır. Ticari amaç ile birçok uterin manipülatör geliştirilse de günümüzde halen ideal bir uterin manipülatör bulunmamaktadır. Bu derlemede; uterin manipülatörlerin genel prensipleri ve uygulamaları hakkında bilgi verilmesi ve uterin manipülatörleri karşılaştıran literatürdeki sınırlı sayıdaki çalışmaların gözden geçirilmesi amaçlandı.

Keywords

uterine manipulators laparoscopy

References

  • 1. ACOG Committee Opinion No. 444: choosing the route of hysterectomy for benign disease. Obstet Gynecol, 2009. 114(5): p. 1156-8.
  • 2. Litynski, G.S., Raoul Palmer, World War II, and transabdominal coelioscopy. Laparoscopy extends into gynecology. Jsls, 1997. 1(3): p. 289-92.
  • 3. Reich, H. and L. Roberts, Laparoscopic hysterectomy in current gynecological practice. Reviews in gynaecological practice, 2003. 3(1): p. 32-40.
  • 4. van den Haak, L., et al., Efficacy and safety of uterine manipulators in laparoscopic surgery: a review. Arch Gynecol Obstet, 2015. 292(5): p. 1003-11.
  • 5. Mettler, L. and Y.A. Nikam, A comparative survey of various uterine manipulators used in operative laparoscopy. Gynecological Surgery, 2006. 3(4): p. 239-243.
  • 6. Bernstein, P., A new uterine manipulator for operative laparoscopic hysterectomy. J Am Assoc Gynecol Laparosc, 1995. 2(3): p. 331-3.
  • 7. Misirlioglu, S., et al., Clermont-Ferrand versus Vectec uterine manipulator for total laparoscopic hysterectomy. Minim Invasive Ther Allied Technol, 2018: p. 1-6.
  • 8. Husslein, H., et al., Comparing two Uterine Manipulators During Total Laparoscopic Hysterectomy: A Randomized Controlled Trial. J Minim Invasive Gynecol, 2017. 24(5): p. 764-771.
  • 9. Choksuchat, C., et al., Comparison of the TINTARA uterine manipulator with the Cohen cannula in gynecologic laparoscopy. J Med Assoc Thai, 2008. 91(4): p. 439-44.
  • 10. Sharp, H.T., et al., Comparison of the ClearView uterine manipulator with the Cohen cannula in laparoscopy. J Am Assoc Gynecol Laparosc, 1995. 2(2): p. 207-11.
  • 11. Sutton, P.A., et al., Comparison of lateral thermal spread using monopolar and bipolar diathermy, the Harmonic Scalpel and the Ligasure. Br J Surg, 2010. 97(3): p. 428-33.
  • 12. Kavallaris, A., et al., Total laparoscopic hysterectomy without uterine manipulator: description of a new technique and its outcome. Arch Gynecol Obstet, 2011. 283(5): p. 1053-7.
  • 13. Mebes, I., K. Diedrich, and C. Banz-Jansen, Total laparoscopic hysterectomy without uterine manipulator at big uterus weight (>280 g). Arch Gynecol Obstet, 2012. 286(1): p. 131-4.
  • 14. Tinelli, R., et al., Laparoscopic treatment of early-stage endometrial cancer with and without uterine manipulator: Our experience and review of literature. Surg Oncol, 2016. 25(2): p. 98-103.
  • 15. Seki, T., et al., Uterine artery pseudoaneurysm caused by a uterine manipulator. Gynecol Minim Invasive Ther, 2017. 6(1): p. 25-27.
  • 16. Akdemir, A. and T. Cirpan, Iatrogenic uterine perforation and bowel penetration using a Hohlmanipulator: A case report. Int J Surg Case Rep, 2014. 5(5): p. 271-3.
  • 17. Wu, H.H., G.P. Yeh, and T.C. Hsieh, Iatrogenic uterine rupture caused by overinflation of RUMI manipulator balloon. J Minim Invasive Gynecol, 2005. 12(2): p. 174-6.

The key instruments of gynecological laparoscopy: Uterine manipulators

Year 2019, Volume: 1 Issue: 1, 12 - 21, 30.12.2019

Aysel Nalçakan Ömer Lütfi Tapısız Sadiman Kiykac Altinbas

Abstract

Uterine manipulators are used for diagnostic assessment or surgical interventions in most of the advanced laparoscopy-assisted gynecological procedures. They ensure the mobilization of the uterus making it possible for the operator to access anatomical structures (vascular pedicle, ligament, vaginal wall, etc.). The uterine manipulators are useful and indispensable instruments for all hysterectomies especially in difficult hysterectomies, myomectomies, endometriosis cases, pelvic restoration, and the infertility surgery. While many uterine manipulators have been commercially developed, there is currently no ideal manipulator found. Here in this review, the aim is to give information about general principles and applications of uterine manipulators and to review the limited number of studies comparing uterine manipulators.

References

  • 1. ACOG Committee Opinion No. 444: choosing the route of hysterectomy for benign disease. Obstet Gynecol, 2009. 114(5): p. 1156-8.
  • 2. Litynski, G.S., Raoul Palmer, World War II, and transabdominal coelioscopy. Laparoscopy extends into gynecology. Jsls, 1997. 1(3): p. 289-92.
  • 3. Reich, H. and L. Roberts, Laparoscopic hysterectomy in current gynecological practice. Reviews in gynaecological practice, 2003. 3(1): p. 32-40.
  • 4. van den Haak, L., et al., Efficacy and safety of uterine manipulators in laparoscopic surgery: a review. Arch Gynecol Obstet, 2015. 292(5): p. 1003-11.
  • 5. Mettler, L. and Y.A. Nikam, A comparative survey of various uterine manipulators used in operative laparoscopy. Gynecological Surgery, 2006. 3(4): p. 239-243.
  • 6. Bernstein, P., A new uterine manipulator for operative laparoscopic hysterectomy. J Am Assoc Gynecol Laparosc, 1995. 2(3): p. 331-3.
  • 7. Misirlioglu, S., et al., Clermont-Ferrand versus Vectec uterine manipulator for total laparoscopic hysterectomy. Minim Invasive Ther Allied Technol, 2018: p. 1-6.
  • 8. Husslein, H., et al., Comparing two Uterine Manipulators During Total Laparoscopic Hysterectomy: A Randomized Controlled Trial. J Minim Invasive Gynecol, 2017. 24(5): p. 764-771.
  • 9. Choksuchat, C., et al., Comparison of the TINTARA uterine manipulator with the Cohen cannula in gynecologic laparoscopy. J Med Assoc Thai, 2008. 91(4): p. 439-44.
  • 10. Sharp, H.T., et al., Comparison of the ClearView uterine manipulator with the Cohen cannula in laparoscopy. J Am Assoc Gynecol Laparosc, 1995. 2(2): p. 207-11.
  • 11. Sutton, P.A., et al., Comparison of lateral thermal spread using monopolar and bipolar diathermy, the Harmonic Scalpel and the Ligasure. Br J Surg, 2010. 97(3): p. 428-33.
  • 12. Kavallaris, A., et al., Total laparoscopic hysterectomy without uterine manipulator: description of a new technique and its outcome. Arch Gynecol Obstet, 2011. 283(5): p. 1053-7.
  • 13. Mebes, I., K. Diedrich, and C. Banz-Jansen, Total laparoscopic hysterectomy without uterine manipulator at big uterus weight (>280 g). Arch Gynecol Obstet, 2012. 286(1): p. 131-4.
  • 14. Tinelli, R., et al., Laparoscopic treatment of early-stage endometrial cancer with and without uterine manipulator: Our experience and review of literature. Surg Oncol, 2016. 25(2): p. 98-103.
  • 15. Seki, T., et al., Uterine artery pseudoaneurysm caused by a uterine manipulator. Gynecol Minim Invasive Ther, 2017. 6(1): p. 25-27.
  • 16. Akdemir, A. and T. Cirpan, Iatrogenic uterine perforation and bowel penetration using a Hohlmanipulator: A case report. Int J Surg Case Rep, 2014. 5(5): p. 271-3.
  • 17. Wu, H.H., G.P. Yeh, and T.C. Hsieh, Iatrogenic uterine rupture caused by overinflation of RUMI manipulator balloon. J Minim Invasive Gynecol, 2005. 12(2): p. 174-6.
There are 17 citations in total.

Details

Primary Language Turkish
Subjects Obstetrics and Gynaecology
Journal Section Review Article
Authors

Aysel Nalçakan 0000-0001-7143-0698

Ömer Lütfi Tapısız

Sadiman Kiykac Altinbas 0000-0003-2773-9641

Publication Date December 30, 2019
Acceptance Date December 28, 2019
Published in Issue Year 2019 Volume: 1 Issue: 1

Cite

APA Nalçakan, A., Tapısız, Ö. L., & Kiykac Altinbas, S. (2019). Jinekolojik laparoskopinin anahtar enstrümanları: Uterin manipülatörler. Türk Kadın Sağlığı Ve Neonatoloji Dergisi, 1(1), 12-21.
AMA Nalçakan A, Tapısız ÖL, Kiykac Altinbas S. Jinekolojik laparoskopinin anahtar enstrümanları: Uterin manipülatörler. Türk Kadın Sağlığı ve Neonatoloji Dergisi. December 2019;1(1):12-21.
Chicago Nalçakan, Aysel, Ömer Lütfi Tapısız, and Sadiman Kiykac Altinbas. “Jinekolojik Laparoskopinin Anahtar enstrümanları: Uterin manipülatörler”. Türk Kadın Sağlığı Ve Neonatoloji Dergisi 1, no. 1 (December 2019): 12-21.
EndNote Nalçakan A, Tapısız ÖL, Kiykac Altinbas S (December 1, 2019) Jinekolojik laparoskopinin anahtar enstrümanları: Uterin manipülatörler. Türk Kadın Sağlığı ve Neonatoloji Dergisi 1 1 12–21.
IEEE A. Nalçakan, Ö. L. Tapısız, and S. Kiykac Altinbas, “Jinekolojik laparoskopinin anahtar enstrümanları: Uterin manipülatörler”, Türk Kadın Sağlığı ve Neonatoloji Dergisi, vol. 1, no. 1, pp. 12–21, 2019.
ISNAD Nalçakan, Aysel et al. “Jinekolojik Laparoskopinin Anahtar enstrümanları: Uterin manipülatörler”. Türk Kadın Sağlığı ve Neonatoloji Dergisi 1/1 (December 2019), 12-21.
JAMA Nalçakan A, Tapısız ÖL, Kiykac Altinbas S. Jinekolojik laparoskopinin anahtar enstrümanları: Uterin manipülatörler. Türk Kadın Sağlığı ve Neonatoloji Dergisi. 2019;1:12–21.
MLA Nalçakan, Aysel et al. “Jinekolojik Laparoskopinin Anahtar enstrümanları: Uterin manipülatörler”. Türk Kadın Sağlığı Ve Neonatoloji Dergisi, vol. 1, no. 1, 2019, pp. 12-21.
Vancouver Nalçakan A, Tapısız ÖL, Kiykac Altinbas S. Jinekolojik laparoskopinin anahtar enstrümanları: Uterin manipülatörler. Türk Kadın Sağlığı ve Neonatoloji Dergisi. 2019;1(1):12-21.
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