Comparison of the Use of LigaSure, HALO PKS Cutting Forceps, and ENSEAL Tissue Sealer in Total Laparoscopic Hysterectomy: A Randomized Trial

Aytan, Hakan; Nazık, Hakan; Narin, Raziye; Apı, Murat; Tok, Ekrem C.

doi:10.1016/j.jmig.2014.01.010

Cited by 33 publications

(19 citation statements)

References 13 publications

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“…Another prospective trial was done on 132 patients in Turkey by Yüksel et al who compared the efficacy of LigaSure vs. ENSEAL and found that operative time was significantly more in ENSEAL group; however, no such differences were noted in the current study. 7,9 The size of the uterus is an important factor in the occurrence of intraoperative hemorrhage and postoperative complications during a laparoscopic hysterectomy, especially with uterus weight >500 gm. Subjects with a history of prior gynecologic surgeries have an increased risk of complications due to adhesions.…”

Section: Resultsmentioning

confidence: 99%

“…Another randomized prospective study by Aytan et al compared LigaSure vs HALO PKS cutting forceps vs ENSEAL and noted more blood loss in the ENSEAL group compared to other groups. 3,7 Bicer et al compared LigaSure vessel sealer both in small and large uterus subjects who underwent LH and noted that blood loss was more in the large uterus group but was not statistically significant. 8 In our study, the amount of blood loss was similar in both groups and was statistically insignificant (p = 0.4).…”

Section: Resultsmentioning

confidence: 99%

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Efficacy and Safety of Electrothermal Bipolar Vessel Sealer vs ENSEAL in Total Laparoscopic Hysterectomy for Large Uterus: A Comparative Study in Mysuru, South India

Prathap¹,

Kumarachar²,

Velayudam³

et al. 2021

World Journal of Laparoscopic Surgery With DVD

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Context: Hysterectomy is the most commonly performed gynecological procedure around the world. Hemostasis is of major concern in an enlarged uterus as chances of hemorrhage are more. New laparoscopic vessel sealing devices have been developed for laparoscopic tissue dissection and vessel sealing. In this study, an ALAN vessel sealer, an indigenous electrothermal bipolar vessel sealing device, is compared with ENSEAL device with respect to safety, efficacy, and perioperative outcomes in laparoscopic hysterectomy for a large uterus. Aims and objectives: This study aimed to determine the efficacy and safety of electrothermal bipolar vessel sealer (ALAN vessel sealer) vs ENSEAL in total laparoscopic hysterectomy (TLH) for a large uterus. Materials and methods: This prospective randomized case-control study included 100 women who underwent TLH for a large fibroid uterus. Of them, 50 women underwent TLH using ALAN vessel sealer, and the remaining 50 using ENSEAL. Efficacy, safety, and perioperative outcomes of both the groups were compared. Statistical analysis: Statistical analysis was done using SPSS version 16.0 software. For evaluating continuous variables and discrete variables, independent T-tests, and Chi-square tests, respectively, were used. Results: Duration of surgery in ALAN vessel sealer group was 56.90 ± 12.45 minutes and in ENSEAL group was 57.25 ± 13.54 minutes (p = 0.9) and mean blood loss in group A and group B was 111.40 ± 22.32 and 107.84 ± 20.33 mL, respectively ( p = 0.4), both of the data were not statistically significant. No significant differences were noticed in the demographic characteristics, intraoperative, and postoperative complications between the two groups. Conclusions: The ALAN vessel sealer is safe and as efficient as ENSEAL in decreasing blood loss and operative time when laparoscopic hysterectomy is performed for an enlarged uterus. It is cost-effective and a promising instrument for TLH in developing countries.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Efficacy and Safety of Electrothermal Bipolar Vessel Sealer vs ENSEAL in Total Laparoscopic Hysterectomy for Large Uterus: A Comparative Study in Mysuru, South India

Prathap¹,

Kumarachar²,

Velayudam³

et al. 2021

World Journal of Laparoscopic Surgery With DVD

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“…Safety and efficacy of these newer instrument comparing with conventional bipolar in laparoscopy gynecology surgeries are studied by many authors comparing different factors like total operative time, blood loss, need for blood transfusion, mean hospital stay, postoperative pain, and postoperative complication ( Table 2 ). 28 29 30 31 32 33 34 35 The results states that Thunderbeat, Ligasure, Gyrus PK, Harmonic and Enseal are better than or as reliable as conventional electrocoagulation.…”

Section: Comparison Of Efficiency and Efficacy Of Different Electrosumentioning

confidence: 94%

“Energy devices in gynecological laparoscopy – Archaic to modern era”

Jaiswal

Huang

2017

Gynecology and Minimally Invasive Therapy

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The introduction of newer vessel sealing systems has revolutionized techniques of hemostasis during laparoscopic surgery. These devices allow for rapid sequential tissue and vessel sealing, coagulation, and transection. Despite of widespread use of newer advanced bipolar and ultrasonic devices, monopolar and conventional bipolar electro-surgery still carry weightage due to wider range of tissue effect, dissection capabilities, cost effectiveness, and ease of availability. Here in we discussed different types of commonly available energy sources in terms of mechanism, efficacy and safety as thorough knowledge is utmost important for surgeon to choose appropriate instrument for surgical procedure.

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“…Due to the Thunderbeat's integration of two sealing technologies, it has been shown to be highly effective in its sealing capabilities, and its performance has been deemed equivalent at the least and even superior in some cases compared to that of similar energy-based tissue sealers (Milsom, Trencheva et al 2012, Seehofer, Mogl et al 2012, Aytan, Nazik et al 2014, Liberman, Khereba et al 2014, Obonna and Mishra 2014, Van Slycke, Gillardin et al 2016). Recall typically a higher complexity is viewed as an unfavorable design attribute; however, that is debatable in this particular case.…”

Section: Complexity Discussionmentioning

confidence: 99%

“…Devices within this category are relied upon to create a hemostatic seal as a result of denaturation of collagen and elastin in vessel walls (Aytan, Nazik et al 2014). Two electrodes are contained within a bipolar electrosurgical device, between which the tissue is grasped.…”

Section: Energy-based Tissue Sealer Overviewmentioning

confidence: 99%

A novel approach to assess minimally invasive surgical device failure utilizing adverse event outcome severity and design complexity.

Riggs¹

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Comparison of the Use of LigaSure, HALO PKS Cutting Forceps, and ENSEAL Tissue Sealer in Total Laparoscopic Hysterectomy: A Randomized Trial

Cited by 33 publications

References 13 publications

Efficacy and Safety of Electrothermal Bipolar Vessel Sealer vs ENSEAL in Total Laparoscopic Hysterectomy for Large Uterus: A Comparative Study in Mysuru, South India

Efficacy and Safety of Electrothermal Bipolar Vessel Sealer vs ENSEAL in Total Laparoscopic Hysterectomy for Large Uterus: A Comparative Study in Mysuru, South India

“Energy devices in gynecological laparoscopy – Archaic to modern era”

A novel approach to assess minimally invasive surgical device failure utilizing adverse event outcome severity and design complexity.

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