Complex Hysterectomy After Multiple Open Procedures

Cutting, morcellation and extraction of very big uterus remain major problems in endoscopic surgery. We present an efficient, safe, reusable, and inexpensive instrument to cut and morcellate the uterus: the Chardonnens* knife.

It is is a classic lancet with an interchangeable blade, transformed into an endoscopic instrument that can be inserted easily through a 10-mm-diameter trocart. The blade has an automatic retraction system and is set in the standby position, ensuring security. Cutting the uterus or myoma is easy. The mass to be cut is held between two grasping forceps for easy cutting with the blade, under permanent visual control. After morcellation, extraction of the masses is performed through the vagina. The morcellator knife is a simple, safe, reusable, and inexpensive instrument with a low maintenance cost.