PMID: 9649111Jul 2, 1998Paper

The Gupta-Frank clamp for salpingo-oophorectomy at vaginal hysterectomy

Obstetrics and Gynecology
J K GuptaC R Nwosu

Abstract

When performing a vaginal hysterectomy, removal of the tubes and ovaries can be either necessary or desirable. We describe our experience with a new instrument called the Gupta-Frank clamp for performing vaginal salpingo-oophorectomy at the time of vaginal hysterectomy. The stainless steel Gupta-Frank clamp is 260 mm long, and its shanks are curved to avoid impedance from the vaginal walls. The 70-mm jaws have a smooth curve, which allows both the round and infundibulopelvic ligaments to be incorporated into a single clamp bite. Each jaw has three serrated grooves, which interlock with the corresponding jaw grooves to give a 6-mm-wide atraumatic nonslip area. We have used this instrument in 18 women undergoing bilateral salpingo-oophorectomy at the time of vaginal hysterectomy. A single clamp bite on each side was sufficient to accomplish salpingo-oophorectomy in all cases. There were no major complications. Salpingo-oophorectomy performed vaginally at the time of vaginal hysterectomy with the Gupta-Frank clamp is feasible and is accomplished easily and safely.

References

Jul 1, 1991·British Journal of Obstetrics and Gynaecology·S S Sheth
Jan 7, 1995·Lancet·R E RichardsonA L Magos
Jan 1, 1996·Obstetrics and Gynecology·I Jelen, G Bachmann
Jan 1, 1996·Obstetrics and Gynecology·L A Ballard, M D Walters
Sep 1, 1996·British Journal of Obstetrics and Gynaecology·A DaviesA L Magos
Mar 1, 1997·Baillière's Clinical Obstetrics and Gynaecology·D J Hill

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Citations

Feb 13, 2001·Acta Obstetricia Et Gynecologica Scandinavica·T J ClarkJ K Gupta

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