title: Use of a Yankauer suction tip combined with the Colpo-Pneumo Occluder balloon to suction the surgical field at the vaginal cuff during robotic hysterectomy.
abstract: A 39-year-old patient with complex endometrial hyperplasia without atypia underwent robotic total laparoscopic hysterectomy with bilateral salpingo-oophorectomy. The procedure was technically challenging because of the patient's obesity (body mass index 50 kg/m(2)). Concomitant suction of pooled blood and retraction of bowel and omentum were necessary to close the vaginal cuff. An endoscopic retractor was used through the assistant's port, and a Yankauer suction tip was placed through an inflated Colpo-Pneumo Occluder balloon in the vagina to provide directed suction to the vagina cuff. This technique enabled efficient closure of the vaginal cuff.
authors: Department of Obstetrics and Gynecology, West Virginia University School of Medicine, Morgantown, West Virginia 26506-9186, USA. MStitely@hsc.wvu.edu
authors: Michael L
authors: ML
authors: Stitely
authors: Mahreen
authors: M
authors: Hashmi
authors: Preiya
authors: P
authors: Jain
authors: Charles
authors: C
authors: Hochberg
mesh_terms: D000328:Adult; D004714:Endometrial Hyperplasia / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000295:instrumentation*; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation*; D009765:Obesity / Q000150:complications; D012371:Robotics; D013396:Suction / Q000295:instrumentation* / Q000379:methods