This video demonstrates total laparoscopic hysterectomy by myoma screw without uterine manipulator. In this technique, the uterus was bound from the uterine corpus and fundus like a bridle with myoma screw, to allow abdominal manipulation. The technique was successfully performed at the first attempt in 90% of cases. The mean application time was 30 min. The vaginal manipulator was not required in any of the cases. There were no intraoperative complications. In conclusion, this method has the advantages of not requiring any vaginal manipulator, reducing the number of people required during operation, permitting a near-maximum manipulation of the uterus in all three dimensions, and giving the control of these manipulations directly to the surgeon.
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