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The Almodin-Moron trocar for uterine entry during fetal surgery
C G Almodin1, A F Moron, S Cavaliero
1Materbaby-Reprodução Humana e Genética, Maringá, Paraná, Brazil. almodin@materbaby.com.br
Objective:
Compare the use of a newly designed and reusable metal trocar for initial uterine entry with the disposable Tulipan-Bruner trocar in creation of a hysterotomy for fetal surgery.
Methods:
Six consecutive patients undergoing hysterotomy for intrauterine repair of myelomeningocele were randomized to uterine entry either with the Tulipan-Bruner trocar or with the Almodin-Moron trocar. Blood loss was estimated by the primary surgeon.
Results:
There was no statistically significant difference in the uterine entry times between the trocars. Blood loss was estimated to be approximately the same. The Almodin-Moron trocar was judged to provide easy handling with good safety.
Conclusions:
The Almodin-Moron trocar provides a uterine entry during creation of a hysterotomy that is as quick and causes as little trauma as the Tulipan-Bruner trocar.
