Blumenthal P D
Johns Hopkins Bayview Medical Center, Department of Obstetrics and Gynecology, Baltimore, Maryland 21224, USA.
Fertil Steril. 1995 Jul;64(1):204-7.
To investigate the usefulness of the Ramathibodi uterine manipulator (AMZURA Enterprises, Freeport, NY) in performing laparoscopic sterilization procedures in the supine position under local anesthesia.
Descriptive prospective study.
Ambulatory surgical unit of university-affiliated hospital.
Women presenting for elective sterilization and weighing < 110 kg.
The Ramathibodi uterine manipulator was used to provide uterine manipulation in 85 cases of laparoscopic sterilization, all performed in the supine position as local anesthesia-sedation sterilization operations. Because such procedures are becoming more common worldwide, we propose the acronym "LASSO" (Local Anesthesia-Sedation Sterilization Operation) for this class of operations. Although commonly used in minilaparotomy procedures, use of this uterine manipulation device in laparoscopic procedures has not been published previously.
Successful tubal occlusion.
Among the 85 cases reported here there were no failures to manipulate the uterus successfully, to identify the tubes, and to occlude them.
The simplicity of the Ramathibodi uterine manipulator provided several advantages over other means of uterine manipulation, notably [1] constant easy-to-learn maneuvers, [2] no tenaculum or balloon requirement, [3] the procedure could be performed in the supine position, and [4] there are no working parts, screws, or springs that could be lost or broken by operating room staff. Our experience with this device leads us to recommend it to colleagues as an inexpensive, safe, and effective alternative to currently available instruments for providing uterine elevation during laparoscopic sterilization procedures.
探讨拉玛蒂博迪子宫操纵器（AMZURA企业，纽约自由港）在局部麻醉下仰卧位进行腹腔镜绝育手术中的实用性。
描述性前瞻性研究。
大学附属医院的门诊手术单元。
前来接受择期绝育且体重<110千克的女性。
在85例腹腔镜绝育手术中使用拉玛蒂博迪子宫操纵器进行子宫操作，所有手术均在仰卧位进行，作为局部麻醉镇静绝育手术。由于此类手术在全球范围内越来越普遍，我们为此类手术提出首字母缩写词“LASSO”（局部麻醉镇静绝育手术）。尽管该子宫操纵装置常用于小切口剖腹手术，但此前尚未有在腹腔镜手术中使用的相关报道。
输卵管成功闭塞。
在本文报告的85例病例中，成功操纵子宫、识别输卵管并使其闭塞无一失败。
拉玛蒂博迪子宫操纵器操作简单，与其他子宫操纵方法相比具有多个优点，特别是[1]操作持续且易于学习，[2]无需使用子宫钳或球囊，[3]手术可在仰卧位进行，[4]没有手术室工作人员可能丢失或损坏的工作部件、螺丝或弹簧。我们使用该装置的经验使我们向同事推荐它，作为在腹腔镜绝育手术中提供子宫抬高的现有器械的一种廉价、安全且有效的替代方案。
