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Year : 2021  |  Volume : 10  |  Issue : 1  |  Page : 19-24

Does uterine manipulator type affect surgical outcomes of laparoscopic hysterectomy?

1 Department of Obstetrics and Gynecology, School of Medicine, Duzce University, Duzce, Turkey
2 Urology Clinic, Burdur Bucak State Hospital, Burdur, Turkey
3 Department of Obstetrics and Gynecology, Istanbul Kartal Training and Research Hospital, Istanbul, Turkey
4 Department of Obstetrics and Gynecology, School of Medicine, Sakarya University, Sakarya, Turkey
5 Department of Obstetrics and Gynecology, School of Medicine, Akdeniz University, Antalya, Turkey

Correspondence Address:
Dr. Ali Yavuzcan
Department of Obstetrics and Gynecology, Duzce University Faculty of Medicine, 81000 Konuralp, Duzce
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/GMIT.GMIT_65_20

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Objectives: Many surgeons use uterine manipulator (UM) during laparoscopic hysterectomy (LH). In this study, we aimed to compare the outcomes of LH operations performed by using partially reusable UM with the articulated system (artUM) and disposable (dUM) UM without articulation. Materials and Methods: A total of 99 patients underwent the LH operation. This study was carried out with 35 of those 99 Caucasian patients who met the inclusion criteria. Group 1 consisted for 7 LH operations using the articulated RUMI®II/KOH-Efficient™ (Cooper Surgical, Trumbull, CT, USA) system (artUM), while Group II consisted of 28 patients using old-type V Care® (ConMed Endosurgery, Utica, New York, USA) dUM as UM. Results: Mean operation time was found to be 157.1 ± 42.0 min. The operation time was found statistically longer in Group 1, consisted of artUM used patients (P = 0.006 and P < 0.05). No statistically significant difference was found between two groups in terms of surgical results such as, delta hemoglobin value (P = 0.483 and P < 0.05), length of hospital stay (P = 0.138 and P < 0.05), and postoperative maximum body temperature (P = 0.724 and P < 0.05). Conclusion: The UM type did not alter the surgical outcomes except the operating time in our study. According to our results, the surgical technique is a more significant variable than instruments used in LH for normal size uterus. Further prospective, large-scale studies comparing various UM systems are mandatory.

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