Alumi Laparoscopic Discussion Board

How many types of Uterine Manipulators are available to perform?
Discussion in 'All Categories' started by Dr. Fatima - May 20th, 2023 11:56 am.
Dr. Fatima
Dr. Fatima
Hello Sir,

To perform Total Laparoscopic Hysterectomy How many types of Uterine Manipulators are available? And What are the advantages of different types of uterine manipulators?
re: How many types of Uterine Manipulators are available to perform? by Dr. R. K. Mishra - May 20th, 2023 11:59 am
Dr. R. K. Mishra
Dr. R. K. Mishra

There are several types of uterine manipulators available for performing Total Laparoscopic Hysterectomy (TLH). Some commonly used uterine manipulators include:

Intrauterine Manipulators: These manipulators are inserted into the uterus through the cervix. They provide direct manipulation and control of the uterus during the procedure. Examples include the Hohl manipulator, Cohen cannula, and Bivalve Vaginal Cannula.

Vaginal Manipulators: These manipulators are inserted into the vagina and used to manipulate the uterus externally. They provide indirect control and manipulation of the uterus. Examples include the VCare Vaginal Manipulator, RUMI manipulator, and Utah manipulator.

Advantages of different types of uterine manipulators:

Intrauterine Manipulators:

Provide direct control and manipulation of the uterus.
Allow for accurate positioning and exposure of the uterus during the procedure.
Facilitate easier identification and dissection of anatomical structures.
Enable precise cutting and removal of the uterus.
Vaginal Manipulators:

Offer external manipulation of the uterus without the need for intrauterine instrumentation.
Provide atraumatic manipulation, reducing the risk of uterine injury.
Allow for better visualization and access to the surgical site.
Can be used in cases where intrauterine manipulation is not feasible or contraindicated.
The choice of uterine manipulator depends on various factors, including the surgeon's preference, patient's anatomy, and the specific requirements of the procedure. It is important to select a uterine manipulator that suits the individual needs of the surgery and ensures safe and effective manipulation of the uterus during Total Laparoscopic Hysterectomy. Consulting with an experienced gynecological surgeon will help determine the most appropriate type of uterine manipulator for a specific case.

There are several brands available in the market that offer uterine manipulators for laparoscopic procedures, including Total Laparoscopic Hysterectomy. Some popular brands include:

CooperSurgical: They offer a range of uterine manipulators, including the Hohl manipulator and the VCare Vaginal Manipulator.

Ethicon: Known for their surgical instruments and devices, Ethicon offers the RUMI manipulator, which is widely used for laparoscopic procedures.

Karl Storz: This brand offers various uterine manipulators, including the Utah manipulator, which provides external manipulation of the uterus.

Richard Wolf: They provide uterine manipulators like the Cohen cannula and the Bivalve Vaginal Cannula.

LiNA Medical: LiNA Medical offers a range of uterine manipulators, including the LiNA LapLoop Vaginal Manipulator.

It's important to note that the availability of specific brands may vary depending on the region and country. Surgeons and healthcare professionals often have their preferred brands or models based on their experience and familiarity with the equipment. It is advisable to consult with a healthcare professional or surgical supplier in your area to explore the different brands and models available to make an informed decision based on your specific needs and requirements.
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