HYST

Surgical excision with cervix removal

• Initially designed for complete hysterectomy, the Hystero-Swing® erfectly suits to this intervention and especially for difficult cases, like the cervix cancer.

Surgical excision with preservation of the cervix 

• The use of the Hystero-Swing® widened to other interventions: supra-cervical hysterectomy, prolapsus, colpotomies, cervix cancers, endometriosis of the recto-vaginal wall…

Assembly

The Hystero-swing® is intended to be general-purpose and can be adapted to the uterine anatomy. This is why, before any operation, it is necessary to make two measurements for an appropriate use.

1. 1 / Selection of the body’s diameter
2. 2 / Selection of the endo-uterine stem

See the slideshow to take the measurements

Indications

Laparoscopic total hysterectomy

For all the indications of total hysterectomy, and moreover for complicated cases:

-Douglas occlusions resulting of pelvi-peritonitis after-effects/sequelae,

-Cesarean section antecedents,

-Wertheim intervention.

The Hystero-swing® will enable a wide section of the utero sacral ligaments and will protect the vaginal barrel by grinding it, allowing best visualization of the vaginal flange if necessary.

Moreover, for the finalization of the section and hemostasis of the lateral cervical ligaments near the ureters (crucial and risky step), putting the dissector or scissors between the notches of the Hystero-swing® makes it possible to divide the vagina from the inside.

NOTES : In all cases, the instrument is assembled with cervical screw (Fig 6) except in case of cancer for which you must use a uterine cervix stop joint washer without cervocal screw (Fig 5) not to create histologicaldamages. When the cervix is gaping, we must use the cervical screw and the cervix stop joint washer (Fig 7) to avoid the risks of uterine perforation. It’s recommended to choose an adapted stem length to cavity measurement (see Table 1).

Prolapse

(Gynecological and digestive surgery)

Isolated rectoceles, complicated prolapsus with cystoceles, rectoceles and elytroceles.

The complete Hystero-swing® is assembled, without the cervical screw but with cervix washer

(Fig 5), to present the retro-uterine cup for the dissection of the peritoneum opening the levator ani

space.

Moreover, pushing the Hystero-swing® unfolds the prolapsed vagina, which ensures an easy adjustment of the promonto-fixation strip.

Posterior extractive colpotomy

The complete Hystero-swing® is assembled without the cervical screw but with cervix washer (Fig 5). This configuration allows the presentation of the posterior vaginal wall, which authorizes the safe

Surgical treatment of the rectovaginal wall endometriosis

This surgery is ensured by the same way as previously described, by an easy dissection on the vaginal barrel which fits perfectly the Hystero-swing®. Please note that, in both cases, for the uterine conservation, the complete Hystero-swing® is assembled, without cervical screw, but with the cervix stop joint washer (Fig 5).

Sub-total hysterectomy

The Hystero-swing® is assembled without cervical screw and cervix washer (Fig 5). Don’t forget to withdraw Hystero-swing® before section with diathermy knife.

General recommendations for cleaning, decontamination and sterilization are listed in the instructions for use according to DGS/R13/2011/449. WARNINGS : Avoid prolonged contact such as electric and ultrasonic bistoury with the body of the uterine manipulator. Prolonged contact with bistoury can cause damage to the body.