Print Email Facebook Twitter A new approach to simplify surgical colpotomy in laparoscopic hysterectomy Title A new approach to simplify surgical colpotomy in laparoscopic hysterectomy Author Van den Haak, L. Rhemrev, J.P. Bikkendaal, M.D. Luteijn, A.C. Van den Dobbelsteen, J.J. Driessen, S.R. Jansen, F.W. Faculty Mechanical, Maritime and Materials Engineering Department BioMechanical Engineering Date 2016-12-31 Abstract New surgical techniques and technology have simplified laparoscopic hysterectomy and have enhanced the safety of this procedure. However, the surgical colpotomy step has not been addressed. This study evaluates the surgical colpotomy step in laparoscopic hysterectomy with respect to difficulty and duration. Furthermore, it proposes an alternative route that may simplify this step in laparoscopic hysterectomy. A structured interview, a prospective cohort study, and a problem analysis were performed regarding experienced difficulty and duration of surgical colpotomy in laparoscopic hysterectomy. Sixteen experts in minimally invasive gynecologic surgery from 12 hospitals participated in the structured interview using a 5-point Likert scale. The colpotomy in LH received the highest scores for complexity (2.8 ± 1.2), compared to AH and VH. Colpotomy in LH was estimated as more difficult than in AH (2.8 vs 1.4, p < .001). In the cohort study, 107 patients undergoing LH were included. Sixteen percent of the total procedure time was spent on colpotomy (SD 7.8 %). BMI was positively correlated with colpotomy time, even after correcting for longer operation time. No relation was found between colpotomy time and blood loss or uterine weight. The surgical colpotomy step in laparoscopic hysterectomy should be simplified as this study demonstrates that it is time consuming and is considered to be more difficult than in other hysterectomy procedures. A vaginal approach to the colpotomy is proposed to achieve this simplification. Subject laparoscopic hysterectomycolpotomynew technologyinnovation of surgical technique To reference this document use: http://resolver.tudelft.nl/uuid:318c29f7-4a32-40a1-aa50-837f6b3f3d88 Publisher Springer ISSN 1613-2076 Source Gynecological Surgery, 13 (1), 2016 Part of collection Institutional Repository Document type journal article Rights (c) The Author(s) 2016. This article is published with open access at Springerlink.com Files PDF 328823.pdf 513.39 KB Close viewer /islandora/object/uuid:318c29f7-4a32-40a1-aa50-837f6b3f3d88/datastream/OBJ/view