Comparison of the use of electrothermal bipolar vessel sealer with harmonic scalpel in total laparoscopic hysterectomy

Abstract

EBVS was found to be less time-consuming and caused less bleeding when compared with HS.

Ligasure Vessel Sealing System versus Harmonic Scalpel for Sutureless Nonanatomical Pulmonary Resections in a Rabbit Model

“…According to these data, LVSS causes less tissue damage than HS and electrocautery on the lung. LVSS produces a significantly reduced thermal spread, as the energy is automatically switched off when the tissue impedance reaches a critical level [2] , thus leading to a lung-tissue-preserving effect.…”

“…LVSS has mainly been used for vessel sealing as an alternative to sutures, hemoclips, staplers and ultrasonic coagulators. LVSS seals the vessel up to 7 mm in diameter and had been used in abdominal surgery [2][3][4] . Lacin et al [19] used LVSS in an experimental study and revealed that segmental branches of pulmonary arteries and veins could be sealed safely with LVSS.…”

“…However, the need of single-use stapling devices and cartridges and also repeated reloading causes a rise in the cost and time of the procedures. Both the ligasure vessel sealing system (LVSS) and harmonic scalpel (HS) are used in different surgical areas, especially in gastrointestinal surgery [1][2][3][4][5] . There are also some studies that describe the usage of these 2 devices in general thoracic surgery [6][7][8][9][10][11][12] .…”

Rationale, bench testing and in vivo evaluation of a novel 5 mm laparoscopic vessel sealing device with homogeneous pressure distribution in long instrument jaws

“…Today, EBVS systems are offered by various manufacturers and widely used in several surgical specialties such as general and visceral surgery [1,3,4], gynecology [5,6], urology [2,7], cardio-thoracic [8], and pediatric surgery [7,9]. Recent systematic reviews and meta-analyses of randomized controlled clinical trials [10-12] revealed that EBVS systems are safe and at least equally effective concerning blood loss and operating time in comparison to ultrasonic energy devices for blood vessel transection in abdominal surgery.…”

Y a-t-il encore des contre-indications à la laparoscopie dans le traitement chirurgical des cancers de l’endomètre ?

“…Pour le temps d'hystérectomie laparoscopique, l'utilisation de dispositifs intégrés permettant de coaguler et sectionner les vaisseaux est un réel progrès. Notre préférence va au système LigaSure 1 (Covidien) [31], mais l'utilisation des ultrasons par Ultracision 1 (Ethicon) est également efficace. La pose de clips sur l'origine de l'artère utérine, à la fin de la lymphadénectomie diminue encore les pertes sanguines, tout en réduisant quelque peu, par ischémie, la taille de l'utérus [32].…”