Advanced uterine manipulation technologies.

As the number of conventional laparoscopic and robot-assisted gynecologic surgeries continues to rise, efficient and safe uterine manipulation has become increasingly important. Currently described uterine manipulation techniques require constant manual manipulation by the surgeon or surgical assistant. This often necessitates extra operating room personnel, increases fatigue levels, and decreases efficiency. There are two new uterine manipulation devices that can improve these measures: the Uterine Positioning System® (UPS) (Cooper Surgical, Trumbull, CT) and the ViKY UP® "Vision Control for endoscopY" Uterine Positioner (EndoControl Medical, La Tronche, France). Both provide accurate and secure uterine positioning. The UPS can manipulate the uterus with minimal bedside involvement from the surgical team while the ViKY UP provides uterine manipulation through a robotic arm controlled by the surgeon remotely. These two devices can facilitate a multitude of conventional laparoscopic and robot-assisted gynecologic surgeries.