Intermediate
Technical
IVT
Uterine manipulator
Vaginal instrument used to mobilize and position the uterus during laparoscopic gynecologic procedures.
Full Definition
A specialized vaginal instrument inserted through the cervix to grasp and manipulate the uterus during laparoscopic surgery. These devices allow surgeons to move the uterus in multiple planes, improving visualization of anatomical structures and facilitating dissection. Common types include the RUMI system, Valtchev manipulator, and Clermont-Ferrand manipulator. Proper placement is essential for safe dissection planes and avoiding inadvertent injury.
Usage
Usage note: Often abbreviated in operative notes but should be spelled out in formal documentation.
In Context
- "A RUMI uterine manipulator was placed to facilitate visualization during the laparoscopic myomectomy." — Operative note
- "The uterine manipulator allowed for optimal exposure of the posterior cul-de-sac." — Surgical journal
Also known as
uterine mobilizer
intrauterine manipulator
Don't confuse with
cervical dilator
tenaculum