Çelik İsmail, Boztosun Abdullah, Güner Fatma Ceren
Department of Gynecology Obstetrics, Akdeniz University, Antalya 07070, Turkey.
J Clin Med. 2025 May 23;14(11):3652. doi: 10.3390/jcm14113652.
: Laparoscopic hysterectomy is commonly performed for benign gynecologic conditions, and the choice of uterine manipulation technique may influence surgical outcomes. The Boztosun technique, a modification of the classical Rein technique, enables intra-abdominal manipulation of the uterus without requiring transvaginal instruments. This study aimed to compare the Boztosun technique with a conventional vaginal uterine manipulator in terms of surgical efficiency and perioperative outcomes. : This retrospective study included 30 patients who underwent laparoscopic hysterectomy for benign indications at Akdeniz University Hospital between March 2022 and March 2024. Fifteen patients underwent surgery using the Boztosun technique, and fifteen with a vaginal uterine manipulator. Operative time, colpotomy time, manipulator placement time, hospital stay, uterine weight, hemoglobin change, and complications were compared. : The Boztosun technique was associated with significantly shorter operative time (81.67 ± 11.02 min vs. 109 ± 10.85 min, < 0.001), colpotomy time (4.13 ± 0.92 min vs. 8.87 ± 0.92 min, < 0.001), manipulator placement time (0.81 ± 0.27 min vs. 8.07 ± 1.22 min, < 0.001), and hospital stay (2.13 ± 0.35 days vs. 3.53 ± 0.92 days, < 0.001). No significant differences were found in uterine weight, hemoglobin decrease, or complication rates. All procedures were completed laparoscopically without conversion to open surgery. : The Boztosun technique may serve as a safe, efficient, and cost-effective alternative to vaginal uterine manipulators in laparoscopic hysterectomy. Its simplified intra-abdominal approach offers advantages in surgical workflow and recovery. Further prospective studies are needed to validate these findings and assess their applicability in broader clinical settings.
腹腔镜子宫切除术常用于治疗良性妇科疾病，子宫操作技术的选择可能会影响手术效果。博兹托孙技术是对经典赖因技术的改良，可在无需经阴道器械的情况下在腹腔内操作子宫。本研究旨在比较博兹托孙技术与传统阴道子宫操纵器在手术效率和围手术期结果方面的差异。：这项回顾性研究纳入了2022年3月至2024年3月在阿克德尼兹大学医院因良性指征接受腹腔镜子宫切除术的30例患者。15例患者采用博兹托孙技术进行手术，15例使用阴道子宫操纵器。比较了手术时间、阴道切开时间、操纵器放置时间、住院时间、子宫重量、血红蛋白变化和并发症情况。：博兹托孙技术的手术时间（81.67±11.02分钟对109±10.85分钟，<0.001）、阴道切开时间（4.13±0.92分钟对8.87±0.92分钟，<0.001）、操纵器放置时间（0.81±0.27分钟对8.07±1.22分钟，<0.001）和住院时间（2.13±0.35天对3.53±0.92天，<0.001）明显更短。子宫重量、血红蛋白下降或并发症发生率方面未发现显著差异。所有手术均通过腹腔镜完成，未转为开放手术。：在腹腔镜子宫切除术中，博兹托孙技术可能是阴道子宫操纵器的一种安全、高效且经济有效的替代方法。其简化的腹腔内入路在手术流程和恢复方面具有优势。需要进一步的前瞻性研究来验证这些发现，并评估其在更广泛临床环境中的适用性。
