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Objective: Thermal injury is a complication that can develop during laparoscopic hysterectomy. The ureter, which is located close to the surgical margin, may be damaged, especially due to the thermal effect created by the electrosurgical devices used in the colpotomy step. The aim of this study is to compare the vaginal cuff thermal injury caused by 2 different energy-based surgical devices used in the colpotomy step in total laparoscopic hysterectomy. Methods: The study included 55 patients who underwent laparoscopic hysterectomy. Patients were randomly assigned to the Bipolar Gyrus® PKS PlasmaSpatula (Gyrus-ACMI, Maple Grove, MA) cutting device group (n = 27) or the Monopolar L-Hook (VECTEC, Bioparc, Hauterive, France) cutting device group (n = 28), and colpotomy was performed using the assigned energy-based surgical device for each group. The removed uterus was examined by the same pathologist in the pathology department. During the colpotomy stage, the thermally damaged area was measured and photographed in millimeters from the application point of the electrosurgical device at the cervix–vaginal border. The extent of lateral thermal damage was measured in width using a light microscope from the point of instrument application to the margin of unchanged nearby tissue. Results: Thermal damage was significantly greater in the Monopolar L-Hook group than in the Bipolar Gyrus ® PKS PlasmaSpatula cutting device group (8.1 mm [range 6.6-9.1 mm] vs. 4.7 mm [range 4.1-5.6 mm], P = .000). However, Bipolar Gyrus ® PKS PlasmaSpatula provided a better surgical field as it did not produce excessive smoke and caused less thermal damage. The colpotomy time, cuff closure time, total operative time, blood loss, and cuff cellulite were similar between the 2 groups. Conclusion: Bipolar Gyrus ® PKS PlasmaSpatula caused less lateral thermal damage and provided a better non-smoked surgical view compared to the Monopolar L-Hook cutting device

Aim: Uterin Retroversion is a common status in the women population and assumed to be related with pelvic pain symptoms. The aim of this study is to investigate whether uterine retroversion is associated with pelvic pain symptoms and is a reason for cesarean delivery.Method: One hundred thirty-three premenopausal women admitted in a Tertiary Education and Research Hospital, Department of Gynecology unit for pregestational counseling were evaluated for pelvic pain symptoms with a self-administrated questionnaire. Uterine position was assessed by pelvic examination and transvaginal ultrasound. Sixty-one women had a retroverted uterus (group1), and seventy-two had an anteverted or intermediate uterus (group2). Dyspareunia, dysmenorrhea, weight, Body Mass Index (BMI), cyclic pain, ovulation pain, premenstrual pain and mode of delivery were compared between the Retroverted group and the Anteverted or intermediate group. After successful conception and pregnancy survey, mode of delivery was also compared.Results: Dyspareunia, dysmenorrhea, weight, BMI, cyclic pain, ovulation pain, premenstrual pain, patients’ sexual activities restrictment due to dyspareunia, patients medical treatment requirement for dysmenorrhea, and mode of delivery was statistically significant between two groups. (p0.05).Conclusion: Uterine retroversion is associated with a higher prevalence of cesarean rate, pelvic pain and visual analogue scale for dyspareunia and dysmenorrhea in a population of unselected women., Amaç: Uterin Retroversiyonu kadın popülasyonunda yaygın bir durumdur ve pelvik ağrı semptomları ile ilişkili olduğu varsayılmaktadır. Bu çalışmanın amacı, uterus retroversiyonunun pelvik ağrı semptomları ile ilişkili olup olmadığını ve sezaryen doğum nedeni olup olmadığını araştırmaktır.Yöntem: Üçüncü Basamak Eğitim ve Araştırma Hastanesi Kadın Hastalıkları Kliniği kliniğine pregestasyonel danışmanlık için başvuran 103 premenopozal kadın, kendi kendine uygulanan anket formu ile pelvik ağrı semptomları açısından değerlendirildi. Uterin pozisyonu pelvik muayene ve transvajinal ultrason ile değerlendirildi. Altmış bir kadında uterusu retroverted (grup 1) ve yetmiş ikisinde ise ileri dönük veya orta uterus (grup 2) vardı. Retroverted grup ile Anteverted veya intermediate grup arasında disparoni, dismenore, ağırlık, Vücut Kitle İndeksi (BMI), döngüsel ağrı, yumurtlama ağrısı, adet öncesi ağrı ve doğum şekli karşılaştırıldı. Başarılı bir gebelik ve gebelik araştırmasından sonra, doğum şekli de karşılaştırıldı.Bulgular: Disparoni, dismenore, kilo, VKİ, döngüsel ağrı, yumurtlama ağrısı, premenstrüel ağrı, disparoni nedeniyle hastaların cinsel aktivitelerinin kısıtlanması, dismenore için hastaların medikal tedavi gereksinimi ve doğum şekli iki grup arasında istatistiksel olarak anlamlıydı. (p 0.05).Sonuç: Uterin retroversiyonu, seçilmemiş kadınlardan oluşan bir popülasyonda daha yüksek sezaryen oranı prevalansı, pelvik ağrı ve disparoni ve dismenore için görsel analog skala ile ilişkilidir.