Sankpal’s modified uterine manipulator and range of movements in total laparoscopic hysterectomy
by Rajendra S Sankpal

Simplified Laparoscopic Hysterectomy: Practical, Safe and Economic Methodology

by Rajendra S Sankpal, Mahantesh Karoshi, Late Louis G Keith
About Video

The Sankpal manipulator has a length of 36 cm from the tip to the handle end. It is autoclavable and reusable. The manipulator tip is 8.5 cm which is angulated to 45° and faces the ceiling at the start of the operation. At the time of the bladder dissection, the position of the manipulator is reversed by closing the tips and rotating the manipulator position. Now the tips face the floor when the surgeon is ready to perform the bladder dissection and push it away from the anterior surface of the lower part of the uterus.

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