Vaginal Hysterectomy with BiClamp®
- Benign changes to the cervix
- Uterus myomatosus (enlarged uterus)
- Adenomyosis uteri (uterine endometriosis)
- Precancerous conditions
- As part of prolapse surgery
Hemostasis around the cervix
With the BiClamp the exposed structures of the parametria can be coagulated, either in one go or in smaller steps, and then severed with the scissors. The amputation of the sacrouterine ligaments in particular improves the mobility of the uterus.
Sealing and Dissection of the cardinal ligaments and the columns of the bladder
The cardinal ligaments and the columns of the bladder are severed very much caudally to the curve of the uterine arteries; it is important to ensure that the bladder is elevated using the front speculum.
Hemostasis and additional amputation of the uterine vessels
The bullet forceps are used to grasp the edge of the isthmus where coagulation and dissection should be carried out. The BiClamp can then be placed in the axis of the vagina at the isthmus. Using the BiClamp the branches of the uterine vessels are coagulated and dissected. It is not necessary to prepare the stalk of the vessel any further.
Amputation of the uterus at the adnexa
If the adnexa are to be left in place, then the end of the adnexa must be grasped directly where it is attached to the uterus and coagulated once or twice with the ERBE BiClamp, after which it can then be amputated with scissors. Depending on the anatomy it is possible to make use of either the concave or the convex shape of the instrument.
Minimal Trauma of the Patients
Thermal hemostasis reduces inflammatory and painful events. The pedicles along the ligature are not crushed so that there is no tissue necrosis.