ABSTRACT
After placement of a cervical tenaculum, a uterine manipulator is inserted into the cervix and uterine cavity to properly manipulate the uterus during the procedure (Figure 2). Manipulators with a capability for tubal lavage may be used, as well as to permit the instillation of dilute indigo carmine dye for chromopertubation. If the patient does not have a uterus, or is pregnant, a sponge stick is introduced into the vagina and the cul-de-sac is pushed upward. A rectal probe can also be introduced for manipulation and better visualization of the rectum and identification of the rectovaginal septum during extensive laparoscopic resections.
