The Almodin–Moron Trocar for Uterine Entry during Fetal Surgery

<i>Objective: </i>Compare the use of a newly designed and reusable metal trocar for initial uterine entry with the disposable Tulipan–Bruner trocar in creation of a hysterotomy for fetal surgery. <i>Methods: </i>Six consecutive patientsundergoing hysterotomy for intrauterine repair of myelomeningocele were randomized to uterine entry either with the Tulipan–Bruner trocar or with the Almodin–Moron trocar. Blood loss was estimated by the primary surgeon. <i>Results: </i>There was no statistically significant difference in the uterine entry times between the trocars. Blood loss was estimated to be approximately the same. The Almodin–Moron trocar was judged to provide easy handling with good safety. <i>Conclusions: </i>The Almodin–Moron trocar provides a uterine entry during creation of a hysterotomy that is as quick and causes as little trauma as the Tulipan–Bruner trocar.