Uterine Manipulation during Laparoscopic Sterilization – Can We Do Without It?

Prasad, Priya; Livinti, I; Simons, Martin; Cuevas, J; Lans, C.; Mikhail, Magdy S.

doi:10.1016/j.jmig.2013.08.501

Cited by 1 publication

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“…In a study on the use of uterine manipulators in laparoscopic sterilisation involving 164 patients, Prasad et al did not report any difference in terms of complications between the groups that were operated with or without uterine manipulators even in the presence of a previous history of abdominal surgery, which is a finding consistent with the results of our study. 20 In our study group, there was no difference between the groups in terms of other abdominal surgery, including caesarean section and complications. In our study, the return of bowel function was found to be 8 hours on average for both groups, a period consistent with that reported in the literature, and no significant difference was found between the groups (P = 0.075).…”

Section: Discussionmentioning

confidence: 52%

Uterine manipulator requirement in laparoscopic surgery of Ectopic Pregnancy

Beyan¹,

Kanmaz

Budak³

et al. 2019

Pak J Med Sci

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Objective: The advantages of laparoscopic surgery used in the treatment of ectopic pregnancy is well-known; however, the efficacy of uterine manipulators remains unknown. In this study, we aimed to investigate the efficacy of uterine manipulators in the laparoscopic treatment of ectopic pregnancy. Methods: Overall, 118 patients who underwent laparoscopy due to ectopic pregnancy in Department of Obstetrics and Gynaecology at Tepecik Education and Research Hospital between January 2010 and January 2018 and who met the inclusion criteria were included in the study. Groups of patients undergoing surgery with or without the use of a uterine manipulator were compared in terms of demographic data, operative and postoperative results. Results: No difference was noted between the groups in terms of age, parity, body mass index, smoking, side of ectopic pregnancy mass, previous operations and pregnancy type. However, the size of ectopic pregnancy mass measured by ultrasonography was significantly larger (p = 0.006) and the operation time was significantly shorter (p<0.001) in the group where uterine manipulators were not used than in the uterine manipulator group. Conclusion: We concluded that not using a uterine manipulator in laparoscopic procedures for ectopic pregnancy did not increase operative complications and that operation time was higher in procedures using uterine manipulators. doi: https://doi.org/10.12669/pjms.36.2.1294 How to cite this:Beyan E, Kanmaz AG, Budak A, Emirdar V, Tutar SO, Inan AH. Uterine manipulator requirement in laparoscopic surgery of Ectopic Pregnancy. Pak J Med Sci. 2020;36(2):---------. doi: https://doi.org/10.12669/pjms.36.2.1294 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 52%