Total Laparoscopic Hysterectomy using Modified Bae's Uterine Elevator.

Lee, Ki Hwan; Nam, Sang Lyun; Noh, Heung Tae; Seo, Young Seok; Lee, Seok Soo; Son, Sung Kyong; Kang, Kil Chun

Original Article

Korean Journal of Obstetrics & Gynecology 2002;45(1):112-116.
Published online January 1, 2002.

Total Laparoscopic Hysterectomy using Modified Bae's Uterine Elevator.

Ki Hwan Lee, Sang Lyun Nam, Heung Tae Noh, Young Seok Seo, Seok Soo Lee, Sung Kyong Son, Kil Chun Kang

Department of Obstetrics and Gynecology, College of Medicine, Chungnam National University, Daejeon, Korea.

Abstract

OBJECTIVE
Hysterectomy is one of the most common gynecological operations. The objective of this study was to introduce a new uterine elevator for total laparoscopic hysterectomy. METHODS: Bae's uterine elevator was modified for laparoscopic hysterectomy. Modified Bae's uterine elevator was 5 cm longer than original one and handle was modified to vertical position and stopper, silicon tube and silicon adapter for colpotomizer was installed on the shaft. Three hundred and fifty seven cases of total laparoscopic hysterectomies using modified Bae's uterine elevator were performed from Jan 1999 to Jun 2000. RESULTS: Mean age of the patients was 41.8, operation time was 48.3 minutes and uterine weight was 245.5 gm. Leiomyoma was the most common cause of hysterectomies (70.9%), and followed by adenomyosis (16.2%), endometriosis (7.6%). There were no major operative complications such as vascular, bladder, ureter or intestinal injuries. CONCLUSIONS: Three hundred and fifty seven cases of total laparoscopic hysterectomies using modified Bae's uterine elevator were performed successfully without any major complications. Modified Bae's uterine elevator was very convenient for uterine manipulation during total laparoscopic hysterectomy.

Key Words: Laparoscope, Hysterectomy, Uterine elevator