Manipulator guard facilitating bladder dissection and skeletonization of uterine vessels
by Rajendra S Sankpal

Simplified Laparoscopic Hysterectomy: Practical, Safe and Economic Methodology

by Rajendra S Sankpal, Mahantesh Karoshi, Late Louis G Keith
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The manipulator guard lies tightly against the external cervical os. This tight fit helps push the entire uterus into the abdomen without perforation of the fundus by the tip of the manipulator. It also helps delineating the cervico-vaginal junction, which in turn identifies the extent of the bladder dissection off the vagina and facilitates effective skeletonization of the uterine vessels.

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