J Med Assoc Thai 2002; 85 (6):693

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Comparative Study of the Efficacy of the Songkla Uterine Manipulator and the Hulka Controlling Tenaculum in Laparoscopic Tubal Ligation
Choksuchat C Mail, Tintara H , Sriplung H

CHAINARONG CHOKSUCHAT, M.D.*,
HATERN TINTARA, M.D.*,
HUTCHA SRIPLUNG, M.D.**
Objective : To compare the efficacy of the Songkla uterine manipulator (SUM) and the
Hulka controlling tenaculum for manipulation of the uterus for laparoscopy.
Method : Forty women scheduled for laparoscopic tubal ligation were randomized to the
SUM group (n=20) or the Hulka group (n=20) as uterine manipulator. Laparoscopic evidence of
antevertion and lateral uterine movements and organ exposure was video recorded. Assessment of
organ exposure and degree of lateral uterine deviation were subsequently evaluated.
Results : The characteristics of the women were similar in both groups. Right, left and
range of lateral uterine motion were greater in the SUM group than the Hulka group (59
vs
42
degrees, 60
vs
47 degrees, and 118
vs
89 degrees, respectively, p

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