{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T13:16:41Z","timestamp":1765891001677,"version":"3.48.0"},"reference-count":21,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T00:00:00Z","timestamp":1765843200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: Vaginal uterine manipulators facilitate laparoscopic hysterectomy but are limited by cost and anatomical constraints. The Boztosun method offers a cost-effective intra-abdominal alternative. This study evaluated the clinical performance and safety of this technique. Materials and Methods: This single-center, retrospective descriptive study analyzed 40 patients who underwent laparoscopic hysterectomy using the Boztosun method at Akdeniz University Hospital between October 2021 and June 2022. Clinical characteristics and perioperative outcomes were assessed. Results: The mean operative time was 78.5 \u00b1 20.6 min, and the mean colpotomy time was 8.05 \u00b1 3.57 min. Conversion to laparotomy occurred in 3 patients (7.5%), primarily due to extensive adhesions or large uterine size. No intraoperative complications, organ injuries, or blood transfusions were recorded. All patients were discharged within two days. Patients with prior abdominal surgery had significantly longer operative and colpotomy times (p &lt; 0.05). Conclusions: The Boztosun method is a safe, efficient, and low-cost alternative to vaginal manipulators in laparoscopic hysterectomy. It may be particularly useful in resource-limited settings or when vaginal manipulation is not feasible.<\/jats:p>","DOI":"10.3390\/medicina61122220","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T12:47:26Z","timestamp":1765889246000},"page":"2220","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Modified Use of Classical Rein Technique in Laparoscopic Hysterectomy for Uterine Manipulation"],"prefix":"10.3390","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-9663-1316","authenticated-orcid":false,"given":"Mert Cenker","family":"G\u00fcney","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Van Education & Research Hospital, Van 65300, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2065-5883","authenticated-orcid":false,"given":"Selin","family":"G\u00fcney","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Van Education & Research Hospital, Van 65300, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8654-7426","authenticated-orcid":false,"given":"Fatma Ceren","family":"G\u00fcner","sequence":"additional","affiliation":[{"name":"Clinic of Gynecologic Oncology, Isparta City Hospital, Ministry of Health, Isparta 32200, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdullah","family":"Boztosun","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Akdeniz University, Antalya 07070, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,12,16]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1363","DOI":"10.1007\/s00192-024-05783-7","article-title":"Vaginal hysterectomy and pelvic organ prolapse: History and recent developments","volume":"35","author":"Cosson","year":"2024","journal-title":"Int. Urogynecol. J."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"102804","DOI":"10.1016\/j.jogoh.2024.102804","article-title":"Minimally invasive outpatient hysterectomy for a benign indication: A systematic review","volume":"53","author":"Emery","year":"2024","journal-title":"J. Gynecol. Obstet. Hum. Reprod."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1097\/GCO.0000000000000959","article-title":"Beyond the cuff: A consideration of factors that affect sexual function after benign hysterectomy","volume":"36","author":"Cohen","year":"2024","journal-title":"Curr. Opin. Obstet. Gynecol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/j.ejogrb.2024.09.012","article-title":"Evidence-based surgery for cesarean hysterectomy secondary to placenta accreta spectrum: A systematic review","volume":"302","author":"Hung","year":"2024","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"225","DOI":"10.4103\/jmh.jmh_81_22","article-title":"Evaluating clinical features in intracavitary uterine pathologies among Vietnamese women presenting with peri-and postmenopausal bleeding: A bicentric observational descriptive analysis","volume":"13","author":"Nguyen","year":"2022","journal-title":"J. Mid-Life Health"},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Restaino, S., Paglietti, C., Arcieri, M., Biasioli, A., Della Martina, M., Mariuzzi, L., Andreetta, C., Titone, F., Bogani, G., and Raimondo, D. (2023). Management of patients diagnosed with endometrial cancer: Comparison of guidelines. Cancers, 15.","DOI":"10.3390\/cancers15041091"},{"key":"ref_7","unstructured":"Carugno, J., and Fatehi, M. (2020). Abdominal Hysterectomy, StatPearls Publishing."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1068","DOI":"10.1111\/j.1471-0528.1994.tb13583.x","article-title":"A randomised prospective study of laparoscopic vaginal hysterectomy versus abdominal hysterectomy each with bilateral salpingo-oophorectomy","volume":"101","author":"Raju","year":"1994","journal-title":"BJOG Int. J. Obstet. Gynaecol."},{"key":"ref_9","first-page":"CD003677","article-title":"Surgical approach to hysterectomy for benign gynaecological disease","volume":"2023","author":"Pickett","year":"2023","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_10","first-page":"e62846","article-title":"Comparative analysis of total laparoscopic hysterectomy versus non-descent vaginal hysterectomy for benign uterine pathologies in women: A systematic review","volume":"16","author":"Sonkusare","year":"2024","journal-title":"Cureus"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"864","DOI":"10.1080\/01443615.2018.1441273","article-title":"A new method used in laparoscopic hysterectomy for uterine manipulation: Uterine rein technique","volume":"38","author":"Boztosun","year":"2018","journal-title":"J. Obstet. Gynaecol."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"\u00c7elik, \u0130., Boztosun, A., and G\u00fcner, F.C. (2025). Comparative Analysis of Vaginal and Abdominal Uterine Manipulation in Laparoscopic Hysterectomy: The Boztosun Technique. J. Clin. Med., 14.","DOI":"10.3390\/jcm14113652"},{"key":"ref_13","unstructured":"Evans, J.D. (1996). Straightforward Statistics for the Behavioral Sciences, Thomson Brooks\/Cole Publishing Co."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1149","DOI":"10.3758\/BRM.41.4.1149","article-title":"Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses","volume":"41","author":"Faul","year":"2009","journal-title":"Behav. Res. Methods"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1111\/j.1471-0528.1991.tb13484.x","article-title":"Outcomes of referrals to gynaecology outpatient clinics for menstrual problems: An audit of general practice records","volume":"98","author":"Coulter","year":"1991","journal-title":"BJOG Int. J. Obstet. Gynaecol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"2001","DOI":"10.1007\/s00404-022-06727-6","article-title":"Minimally invasive anesthesia for laparoscopic hysterectomy: A case series","volume":"306","author":"Mercorio","year":"2022","journal-title":"Arch. Gynecol. Obstet."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1080\/13645706.2018.1471404","article-title":"Clermont-Ferrand versus Vectec uterine manipulator for total laparoscopic hysterectomy","volume":"28","author":"Misirlioglu","year":"2019","journal-title":"Minim. Invasive Ther. Allied Technol."},{"key":"ref_18","first-page":"12","article-title":"The key instruments of gynecological laparoscopy: Uterine manipulators","volume":"1","author":"Tapisiz","year":"2019","journal-title":"Turk. J. Womens Health Neonatol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1007\/s00464-019-06825-8","article-title":"Comparing benign laparoscopic and abdominal hysterectomy outcomes by time","volume":"34","author":"Margulies","year":"2020","journal-title":"Surg. Endosc."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1016\/j.ejogrb.2021.06.023","article-title":"Surgical morbidity of total laparoscopic hysterectomy for benign disease: Predictors of major postoperative complications","volume":"263","author":"Casarin","year":"2021","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"e2018.00068","DOI":"10.4293\/JSLS.2018.00068","article-title":"Comparison of robotic and laparoscopic hysterectomy for the large uterus","volume":"23","author":"Sinha","year":"2019","journal-title":"JSLS J. Soc. Laparoendosc. Surg."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/61\/12\/2220\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T13:13:41Z","timestamp":1765890821000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/61\/12\/2220"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,16]]},"references-count":21,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["medicina61122220"],"URL":"https:\/\/doi.org\/10.3390\/medicina61122220","relation":{},"ISSN":["1648-9144"],"issn-type":[{"value":"1648-9144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,16]]}}}