title: The Almodin-Moron trocar for uterine entry during fetal surgery.
abstract: OBJECTIVE
  Compare the use of a newly designed and reusable metal trocar for initial uterine entry with the disposable Tulipan-Bruner trocar in creation of a hysterotomy for fetal surgery.
  
  
  METHODS
  Six consecutive patients undergoing hysterotomy for intrauterine repair of myelomeningocele were randomized to uterine entry either with the Tulipan-Bruner trocar or with the Almodin-Moron trocar. Blood loss was estimated by the primary surgeon.
  
  
  RESULTS
  There was no statistically significant difference in the uterine entry times between the trocars. Blood loss was estimated to be approximately the same. The Almodin-Moron trocar was judged to provide easy handling with good safety.
  
  
  CONCLUSIONS
  The Almodin-Moron trocar provides a uterine entry during creation of a hysterotomy that is as quick and causes as little trauma as the Tulipan-Bruner trocar.
authors.affiliation: Materbaby-Reprodução Humana e Genética, Maringá, Paraná, Brazil. almodin@materbaby.com.br
authors.forename: C G
authors.initials: CG
authors.lastname: Almodin
authors.forename: A F
authors.initials: AF
authors.lastname: Moron
authors.forename: S
authors.initials: S
authors.lastname: Cavaliero
authors.forename: A
authors.initials: A
authors.lastname: Yamashita
authors.forename: W
authors.initials: W
authors.lastname: Hisaba
authors.forename: J
authors.initials: J
authors.lastname: Piassi
mesh_terms: D016063:Blood Loss, Surgical; D005260:Female; D005315:Fetal Diseases / Q000601:surgery*; D005333:Fetus / Q000601:surgery*; D006801:Humans; D020883:Hysterotomy / Q000295:instrumentation*; D008591:Meningomyelocele / Q000601:surgery; D011247:Pregnancy; D013525:Surgical Instruments