Comparison of the TINTARA uterine manipulator with the Cohen cannula in gynecologic laparoscopy.
OBJECTIVE
To assess the efficacy of the TINTARA uterine manipulator and the Cohen cannula for gynecologic laparoscopy.


METHODS
Sixty women scheduled for laparoscopy were randomized for use of TINTARA (n = 30) or Cohen (n = 30) as a uterine manipulator. The degree of anterior and lateral deviation of the uterus, operative time, surgical complications and ease of use were recorded and compared between the two groups.


RESULTS
The mean ranges of anterior and lateral deviation of the uterus in TINTARA and Cohen groups were 61.17 +/- 19.37 vs. 49.33 +/- 22.58 degrees (p = 0.033) and 107.03 +/- 39.68 vs. 85.5 +/- 37.52 degrees (p = 0.035) respectively. The percentage of patients having dye leakage from the cervix in the Cohen group was greater than in the TINTARA group, but the difference was not statistically significant. Both instruments provided similar ease of use. Complications were not found in either group.


CONCLUSIONS
TINTARA was found to have more advantages than the Cohen in moving the uterus in both anterior and lateral directions.
Choksuchat
Chainarong
C
Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand. chchaina@yahoo.com
Getpook
Chatpavit
C
Watthanagamthornkul
Saranya
S
Choobun
Thanapan
T
Dhanaworavibul
Kriengsak
K
Tintara
Hatern
H
D000328:Adult; D002404:Catheterization / Q000295:instrumentation* / Q000379:methods; D005260:Female; D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D014591:Uterine Diseases / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D014599:Uterus / Q000601:surgery*