Lifting the uterus during laparoscopic surgery and retrospective evaluation of this technique

Abstract

  A uterine manipulator is used during laparoscopic surgery for optimal visualization of the operative field posterior to the uterus. However, the use of a uterine manipulator requires the services of an additional operator during the surgery, and insertion of this device may be difficult in women without exposure to sexual activity. We introduced a device to lift the uterus by piercing the base of uterus with a straight needle from above the pubis. We used our uterus lifting technique in 10 women. Notably, the operation time and estimated blood loss were similar to those observed with conventional surgery, and the postoperative course was unremarkable in all women. We conclude that our technique of lifting the uterus enables optimal visualization of the operative field during laparoscopic surgery.