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. 2021 Apr 30;10(2):109-113.
doi: 10.4103/GMIT.GMIT_128_19. eCollection 2021 Apr-Jun.

Colpotomizer-assisted Total Abdominal Hysterectomy (CATAH Technique): A New Technique for Uterine Removal in Benign Pathologies

Ayman Shehata Dawood  1 , Sherin Barakat Elbohoty  1 , Ahmed Mohamed Abbas  2 , Adel Elshahat Elgergawy  1
Affiliations

Colpotomizer-assisted Total Abdominal Hysterectomy (CATAH Technique): A New Technique for Uterine Removal in Benign Pathologies

Ayman Shehata Dawood et al. Gynecol Minim Invasive Ther. .

Abstract

Objectives: The aim of this study is to evaluate the applicability and feasibility of Colpotomizer-assisted total abdominal hysterectomy (CATAH), a new technique for uterine removal in benign uterine pathologies.

Materials and methods: This study is a prospective cohort study conducted at a tertiary University hospital in Egypt. Eligible patients (n = 88) for total abdominal hysterectomy (TAH) were divided into two groups; the study group who underwent TAH by the CATAH technique and the control group who underwent TAH by the conventional technique. Demographic data, operative time, blood loss, and operative complications were recorded.

Results: The mean operative time was significantly reduced (64.47 ± 3.60 min) in the study group than in the control group (86.42 ± 5.54 min, P < 0.001). The mean time for cervical removal was significantly less (8.60 ± 1.39 min) in the study group than (17.77 ± 2.62 min) in the control group (P < 0.001). The mean volume of blood loss was less (197.38 ± 39.42 ml) in the study group than in the control group (462.69 ± 167.96 ml). Complications were fewer in the study group than in the control group.

Conclusion: The CATAH technique was feasible, quicker with less intraoperative and postoperative complications than the conventional technique for TAH in benign uterine pathologies.

Keywords: Benign uterine pathologies; colpotomizer; colpotomizer-assisted total abdominal hysterectomy; total abdominal hysterectomy.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Colpotomizer of Mangeishkar uterine manipulator
See this image and copyright information in PMC

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