caa a22 4500 445308567 CHVBK 20180317142621.0 cr unu---uuuuu 170323e20110501xx s 000 0 eng 10.1007/s00404-010-1494-1 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1494-1 Total laparoscopic hysterectomy without uterine manipulator: description of a new technique and its outcome [Elektronische Daten] [Andreas Kavallaris, N. Chalvatzas, K. Kelling, M. Bohlmann, K. Diedrich, A. Hornemann] Introduction: Hysterectomy remains the most common major gynecological operation. This is the first study that describes a new technique of TLH without using any kind of uterine manipulator or vaginal tube (TLHwM) and analyzes the intra- and postoperative surgical outcome of the first 67 cases. Patients and methods: Between October 2008 and December 2009, 67 patients underwent TLH without uterine manipulator or vaginal tube. We analyzed the differences in the outcome by using three different kinds of surgical instruments: in 21 cases the TLHwM was performed using conventional 5mm bipolar and scissors, in 22 cases using Sonosurgical, and in 24 cases using PKS cutting forceps. Results: There was no intra- or postoperative complications. The overall mean operating time was by TLHwM with salpingo-oophorectomy 98min and without salpingo-oophorectomy, 80min. The mean operating time using cutting forceps was significantly lower. The mean uterine weight was 263g. Discussion: Uterine manipulator seems to be a safe and practical surgical method, especially for patients with vaginal stenosis and in cases of enlarged uterus. With its short operation time and no complication rate, we believe that this method is an enrichment of the laparoscopic hysterectomy techniques. Springer-Verlag, 2010 TLH nationallicence Hysterectomy nationallicence Sonosurgical nationallicence PKS cutting forceps nationallicence Kavallaris Andreas Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany aut Chalvatzas N. Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany aut Kelling K. Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany aut Bohlmann M. Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany aut Diedrich K. Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany aut Hornemann A. Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany aut Archives of Gynecology and Obstetrics Springer-Verlag 283/5(2011-05-01), 1053-1057 0932-0067 283:5<1053 2011 283 404 https://doi.org/10.1007/s00404-010-1494-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1494-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kavallaris Andreas Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany aut NATIONALLICENCE 700 1- Chalvatzas N. Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany aut NATIONALLICENCE 700 1- Kelling K. Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany aut NATIONALLICENCE 700 1- Bohlmann M. Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany aut NATIONALLICENCE 700 1- Diedrich K. Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany aut NATIONALLICENCE 700 1- Hornemann A. Department of Obstetrics and Gynecology, University of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, 23538, Luebeck, Germany aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/5(2011-05-01), 1053-1057 0932-0067 283:5<1053 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer