Total laparoscopic hysterectomy with a transvaginal tube.
Several techniques of laparoscopic hysterectomies have been described, but loss of carbon dioxide (CO(2)) pneumoperitoneum is still a problem when the vagina is incised and the specimen has been removed. Our technique allows maintenance of CO(2) pneumoperitoneum by inserting a silicone tube into the vagina. The McCartney tube is open at its vaginal (proximal) end and a cap covers the outer distal end. The total hysterectomy specimen, adnexa, and, if necessary, lymph nodes can be easily removed through the tube.
McCartney
Anthony J
AJ
King Edward Memorial Hospital for Women and St. John of God Hospital, Subiaco, Australia.
Obermair
Andreas
A
D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000295:instrumentation* / Q000379:methods; D010535:Laparoscopy / Q000379:methods*; D011028:Pneumoperitoneum, Artificial