SynthesisUpdates in surgery2020
Uterine manipulator in total laparoscopic hysterectomy: safety and usefulness.
Synthesis in Updates in surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 41 citations in OpenAlex.
- Surgical management of uterine fibroids.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Review
- Intraoperative complications during gender-affirming laparoscopic hysterectomy in transgender men receiving testosterone: a case series.BMC surgery · 2026Article
- Manipulator-Free Versus Manipulator-Assisted Total Laparoscopic Hysterectomy: Are Outcomes Comparable in Experienced Hands?Medical science monitor : international medical journal of experimental and clinical research · 2026Article
- Are Uterine Manipulators Harmful in Minimally Invasive Endometrial Cancer Surgery? A Retrospective Cohort Study.Cancers · 2025Article
- Comparative Analysis of Vaginal and Abdominal Uterine Manipulation in Laparoscopic Hysterectomy: The Boztosun Technique.Journal of clinical medicine · 2025Article
- A retrospective study on the effect of surgical approaches and uterine manipulators on the prognosis of cervical cancer.Archives of gynecology and obstetrics · 2024Article
- A retrospective study of the effects of uterine manipulators on prognosis in patients with cervical cancer.The Journal of international medical research · 2024Article
- Identifying key predictors for uterine manipulator use in robotic simple hysterectomy: a retrospective cohort analysis.Frontiers in medicine · 2024Article
- The sealing effect of magnetic-sealing uterine manipulator in isolated uterus from patients with early-stage cervical cancer: a pre-clinical study.Journal of gynecologic oncology · 2023Article
- Application of Uterus Manipulator in Total Abdominal Hysterectomy for Benign Diseases.Journal of family & reproductive health · 2023Article
- Pre-post pilot study: investigating the role of rectovaginal contamination in laparoscopic hysterectomy-related infectious morbidity.AJOG global reports · 2023Article
- Clinical Relevance of Uterine Manipulation on Oncologic Outcome in Robot-Assisted versus Open Surgery in the Management of Endometrial Cancer.Journal of clinical medicine · 2023Article
- Urologic Complication after Laparoscopic Hysterectomy in Gynecology Oncology: A Single-Center Analysis and Narrative Review of the Literature.Medicina (Kaunas, Lithuania) · 2022Review
- Article
- Ultrasound Imaging of Acquired Myometrial Pseudoaneurysm: The Role of Manipulators as an Unusual Cause during Laparoscopic Surgery.Diagnostics (Basel, Switzerland) · 2022Article
- Ureteric injuries during hysterectomy-A Norwegian retrospective study of occurrence and claims for compensation over an 11-year period.Acta obstetricia et gynecologica Scandinavica · 2022Article
- Role of uterine manipulator during laparoscopic endometrial cancer treatment.Translational cancer research · 2020Review
- A Comparison between Total Abdominal Hysterectomy versus Total Laparoscopic Hysterectomy.Gynecology and minimally invasive therapyArticle
- Does Uterine Manipulator Type Affect Surgical Outcomes of Laparoscopic Hysterectomy?Gynecology and minimally invasive therapyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim of this review is to evaluate the effectiveness and safety of uterine manipulators in facilitating total laparoscopic hysterectomy (TLH). A literature search in MEDLINE, EMBASE, Cochrane Library, UpToDate, SpringerLink, ClinicalKey and Elsevier ScienceDirect databases was performed, and articles describing TLH with or without the use of uterine manipulators were retrieved. Complications related to the use of uterine manipulators are numerous, and although uterine manipulator seems to facilitate TLH, the procedure without a uterine manipulator seems to have a comparable safety and effectiveness, although evidence based on a direct comparison of the two approaches is limited without available controlled trials. Uterine manipulator may provide support in cases of large uteri, severe endometriosis, recto vaginal adhesions and regional anesthesia, while its use may increase complications in cases of vaginal stenosis and nulliparity. Therefore, to perform TLH, the surgeon should individualize for each case if uterine manipulator is needed and which manipulator best suits the surgical procedure requirements and case characteristics. Further studies comparing the two approaches are mandatory.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.