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Development of Transvaginal Uterus Amputation Device for Laparoscopic Hysterectomies in Gynecologic Surgeries

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dc.creator DİKİCİ, Serkan
dc.creator ALDEMİR, Betül
dc.creator GEZGİN, Erkin
dc.creator BAŞER, Özgün
dc.creator ŞAHİN, Savaş
dc.creator ESER, Hakan
dc.creator ERCAN, Utku
dc.creator YILMAZ, Bülent
dc.creator KELEKCİ, Sefa
dc.creator OFLAZ, Hakan
dc.date 2015-01-04T19:30:10Z
dc.date.accessioned 2019-07-09T11:59:05Z
dc.date.available 2019-07-09T11:59:05Z
dc.identifier http://dergipark.org.tr/sdufenbed/issue/20805/222224
dc.identifier 10.19113/sdufbed.30269
dc.identifier.uri http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/46118
dc.description Hysterectomy, that is removal of uterus, is one of the most common major operations in gynecologic surgeries. Laparoscopy technique is preferred in hysterectomy because of its advantages such as lower intra-operative blood loss, decreased surrounding tissue/organ damage, less operating time, lower postoperative infection and frequency of fever, shorter duration of hospitalization and post-operative returning time to normal activity. During total laparoscopic hysterectomy, first uterine vessels and ligaments are cauterized respectively, and then cervicovaginal connections are cauterized and coagulated to remove uterus completely. Uterine manipulators are used during laparoscopy to maximize the endoscopic vision of surgeons by moving related organs. However, conventional uterine manipulators have important drawbacks particularly to move uterus in three dimensions and to show cervicovaginal landmark during laparoscopic circular cauterization and amputation of the uterine cervix. A new transvaginal uterine manipulator may overcome these two important drawbacks of these currently available devices. For this reason, a3D scanned technique was used to get uterus sizes and computer aided design software is used in designing of the new manipulator and then 3D printer was used in prototyping. Special light emitting diodes (LEDs) were mounted on the cervical cap of the manipulator to guide light beams from inside of cervicovaginal tissue to abdominal cavity to facilitate the visualization of tissue landmarks. Moreover, performances of different caps and LED systems will be evaluated. Furthermore, after integration of self-cutting and self-suturing mechanisms into our system, final prototype will be produced by using titanium which is biologically and mechanically appropriate. Therefore, aim of this study was to design and produce a new uterine manipulator with three dimensional movements, LED illumination, self-cutting and self-suturing systems to facilitate laparoscopic hysterectomy
dc.description Hysterectomy, that is removal of uterus, is one of the most commonmajor operations in gynecologic surgeries. Laparoscopy technique is preferred inhysterectomy because of its advantages such as lower intra-operative blood loss,decreased surrounding tissue/organ damage, less operating time, lower postoperativeinfection and frequency of fever, shorter duration of hospitalization andpost-operative returning time to normal activity. During total laparoscopichysterectomy, first uterine vessels and ligaments are cauterized respectively, andthen cervicovaginal connections are cauterized and coagulated to remove uteruscompletely. Uterine manipulators are used during laparoscopy to maximize theendoscopic vision of surgeons by moving related organs. However, conventionaluterine manipulators have important drawbacks particularly to move uterus inthree dimensions and to show cervicovaginal landmark during laparoscopiccircular cauterization and amputation of the uterine cervix. A new transvaginaluterine manipulator may overcome these two important drawbacks of thesecurrently available devices. For this reason, a3D scanned technique was used to getuterus sizes and computer aided design software is used in designing of the newmanipulator and then 3D printer was used in prototyping. Special light emittingdiodes (LEDs) were mounted on the cervical cap of the manipulator to guide lightbeams from inside of cervicovaginal tissue to abdominal cavity to facilitate thevisualization of tissue landmarks. Moreover, performances of different caps andLED systems will be evaluated. Furthermore, after integration of self-cutting andself-suturing mechanisms into our system, final prototype will be produced byusing titanium which is biologically and mechanically appropriate. Therefore, aimof this study was to design and produce a new uterine manipulator with threedimensional movements, LED illumination, self-cutting and self-suturing systemsto facilitate laparoscopic hysterectomy.
dc.format application/pdf
dc.language en
dc.publisher Süleyman Demirel University
dc.publisher Süleyman Demirel Üniversitesi
dc.relation http://dergipark.org.tr/download/article-file/194017
dc.source Volume: 18, Issue: 3 52-57 en-US
dc.source 1308-6529
dc.subject Laparoscopy Hysterectomy Uterus Cancer
dc.subject Laparoskopi Histerektomi Rahim Uterus Manipulatör Biyomedikal Mühendisliği
dc.title Development of Transvaginal Uterus Amputation Device for Laparoscopic Hysterectomies in Gynecologic Surgeries en-US
dc.type info:eu-repo/semantics/article


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