title: The RUMI manipulator and Koh colpotomiser system for total laparoscopic hysterectomy.
abstract: The initial experience in 25 patients of using the Koh Colpotomiser System in conjunction with the RUMI Manipulator, a new modified technique for performing total laparoscopic hysterectomy, is presented. Of 25 operations, 23 (92%) were completed successfully. Complications were limited to minor pre-operative haemorrhage in two patients and post-operative bleeding in another. The Koh Colpotomiser System successfully maintained a pneumoperitoneum following colpotomy, giving the operator improved visibility and access to the pelvic organs. This resulted in greater efficiency, while eliminating the difficulties of vaginal access.
authors.affiliation: St Mary's Hospital, Manchester.
authors.forename: R
authors.initials: R
authors.lastname: Keriakos
authors.forename: M
authors.initials: M
authors.lastname: Zaklama
mesh_terms: D003127:Colposcopy / Q000379:methods; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000295:instrumentation*; D010535:Laparoscopy / Q000379:methods*; D013525:Surgical Instruments; D013997:Time Factors