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ISSN 1561-3062 (Electronic)

2014, Number 2

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Revista Cubana de Obstetricia y Ginecología 2014; 40 (2)

Design and manufacture of a Cuban prototype of uterine manipulator for totally laparoscopic hysterectomy

García BLG, Cadavieco FY, Rodríguez FD

Language: Spanish
References: 24
Page: 279-292
PDF size: 125.26 Kb.


ABSTRACT

The National Center of Minimal Invasive has a wide experience regarding laparoscopic hysterectomies, 1107 of them, and training course for 132 specialists in our country until last 2012 with the main objective of spreading this form of approaching the surgery of the uterus. For this purpose, it is necessary the use of uterine manipulator which must be purchased abroad at a high cost and in not enough quantities as they are required. To carry out the design and making of a national uterine manipulator. A follow-up study was carried out by applying a questionnaire using the Kano methodology to experts in laparoscopic hysterectomy and in the use of the Clermond-Ferrand uterine manipulator in the National Center of Minimal Invasive Surgery in May, 2013. There, the adequate characteristic of the new uterine manipulator were assigned. It was designed in a computer with the Solid-Works 2011 program, and it was made with the right materials for its sterilization. The suitable requirements were: a simple design, an easy and reliable way of assembling, low weight, and a fixed central axis on which a vaginal cap is slid. It has a silicon cap for the closure of the neumo, and less expensive materials were needed. The fixed condition of the central axis will strengthen the lever; moreover, it will avoid the insufficient mobilization of the uterus due to the opposite slide of the manipulator tip.


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