Electrosurgical bipolar vessel sealing versus conventional clamping and suturing for vaginal hysterectomy: a randomised controlled trial

Soreefan, AH; Beebeejaun,

doi:10.1111/1471-0528.12162

Cited by 4 publications

(5 citation statements)

References 4 publications

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“…We agree with Soreefan et al 1 that trainees might benefit from practicing conventional clamping and suturing; however, the main reason for starting this study was to evaluate possible advantages of the vessel-sealing technique for patients in postoperative pain, in recovery and with pelvic floor symptoms. We showed that women may benefit from the use of a vessel-sealing technique, as the postoperative pain during the first night after surgery is less.…”

Section: Referencessupporting

confidence: 76%

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Electrosurgical bipolar vessel sealing versus conventional clamping and suturing for vaginal hysterectomy: a randomised controlled trial

Lakeman

Roovers

2013

BJOG

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Section: Referencessupporting

confidence: 76%

“…& Authors' Reply Sir, We thank Soreefan et al 1 for their comments on our article. 2 Their main statement concerns the fact that myoreduction and the securing of the large pedicles are the most time-consuming part of the operation.…”

mentioning

confidence: 97%

Electrosurgical bipolar vessel sealing versus conventional clamping and suturing for vaginal hysterectomy: a randomised controlled trial

Lakeman

Roovers

2013

BJOG

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“…Marasmus was defined as a weight loss of more than 5 kg on the morning of sacrifice. There was no significant difference between the MSCtreated group and the control group in terms of a high fever, 3 Stem Cells International marasmus, bowel distention, ileus, ascites, surgical site infection, and hemafecia.…”

Section: Local Injection Of Mscs Did Not Influence Clinicalmentioning

confidence: 84%

“…The development of innovative surgical instruments has led to major advances in urological, colorectal, gynecological, and general surgery. Since the late 1990s, tissue fusion technology has led to the widespread application of LigaSure, a tissue sealing system, which has been proven to be safer than traditional vessel sealing methods, especially for vessels with diameters of <7 mm [1][2][3][4][5][6][7]. In the last decade, surgeons have attempted to use this sealing system in animal models and human clinical procedures for digestive gut sealing or anastomosis [8][9][10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Mesenchymal Stem Cells Combined with Tissue Fusion Technology Promoted Wound Healing in Porcine Bowel Anastomosis

Pan

Lam

Tong

et al. 2020

Stem Cells International

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Objective. To evaluate the possible biological effect of allogenic mesenchymal stem cells (MSCs) combined with tissue fusion technology on the anastomosis. Methods. Sixteen pigs were divided into a 7 d group and 14 d group, each of which was further subdivided into an MSC-treated group and a control group. Five anastomoses per animal were established using LigaSure ForceTriad (Covidien, MA, USA), a tissue sealing system. Cell migration and tissue-specific differentiation potency, in addition to potential cytokine and genetic changes, were investigated. Results. There were no significant between-group differences in postoperative complications and anastomosis burst pressure. The number of proliferating cell nuclear antigen-(PCNA-) positive cells was significantly higher in the MSC-treated group as compared with that in the control group (P = 0:021). Labeled MSCs were found in the mucosal layer, villus, and lamina propria, as well as in the lamina muscularis mucosae, where they exhibited characteristics of smooth muscle cells. Conclusions. Grafted MSCs significantly promoted epithelial and connective cell proliferation and maintained their cell migration capacity and differentiation potential in the fused anastomotic tissues, without causing severe postoperative complications.

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“…Safe bipolar sealing has been reported for various types of surgeries, including abdominal 9-15 and gynecological surgeries. [16][17][18] Up to now, bipolar sealing has been used mainly to seal and divide arteries, 19 lymph vessels, 20 and veins. 21 After the tissue has been grasped between the jaws of the sealing instrument, the jaws are closed and a defined force is applied.…”

Section: Introductionmentioning

confidence: 99%

Suture or Stapling Are Superior in Comparison to Bipolar Sealing for Closing the Bronchi

Kirschbaum

Waubke

Pehl

et al. 2016

Thorac cardiovasc Surg

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Every anatomical lung resection requires the airtight closure of at least one bronchus. In current clinical practice, these bronchi are sealed with sutures or staplers. This study investigated in an ex vivo pig model whether a new bipolar sealing device MARSEAL (KLS Martin, Tuttlingen, Germany) could be an alternative for this purpose. Complete bronchial trees were prepared free from pig heart-lung blocks that were removed at a slaughterhouse. These preparations were taken to the laboratory, and main, lobar, and segmental bronchi were closed using sutures, staples, or bipolar sealing. Each trachea was then intubated and connected to a ventilating device. The initial airtight closure of the bronchus was first tested with lung-protective ventilation. After 15 minutes of ventilation, the inspiratory ventilation pressure was slowly increased and the burst pressure (in mbar) was recorded. Each group included 12 bronchus closures. Group mean burst pressures were compared using a nonparametric test (Mann-Whitney test). The significance level was < 0.05. The main bronchi closed both stapler magazines or sutures were all initially airtight during ventilation. The mean burst pressure was 60 ± 0 mbar for staplers and 57.92 ± 5.8 mbar for sutures. In contrast, 50% of main bronchi sealed with MARSEAL devices (5 or 10 mm) leaked air from the beginning. This was also noted in all lobar bronchi sealed with the MARSEAL 5-mm device and 80% of those sealed with the MARSEAL 10-mm device. The mean burst pressure of initially airtight lobar bronchi was 12.7 ± 7.25 mbar. In contrast, all segmental bronchi (mean width: 1.6 cm) were airtight when ventilated. Mean burst pressure was 14.64 ± 9.1 mbar with the MARSEAL 5-mm device and 29.64 ± 21.3 mbar with the MARSEAL 10-mm device. Histological investigation of the preparations (with hematoxylin and eosin staining) showed intact cartilaginous structures that were largely unaffected by bipolar coagulation. The airtight sealing of the segmental bronchi resulted from fusion of the peribronchial tissue and not the cartilage. Bipolar sealing is an inappropriate tool for the closure of the bronchi in comparison to suture or stapling.

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Electrosurgical bipolar vessel sealing versus conventional clamping and suturing for vaginal hysterectomy: a randomised controlled trial

Cited by 4 publications

References 4 publications

Electrosurgical bipolar vessel sealing versus conventional clamping and suturing for vaginal hysterectomy: a randomised controlled trial

Electrosurgical bipolar vessel sealing versus conventional clamping and suturing for vaginal hysterectomy: a randomised controlled trial

Mesenchymal Stem Cells Combined with Tissue Fusion Technology Promoted Wound Healing in Porcine Bowel Anastomosis

Suture or Stapling Are Superior in Comparison to Bipolar Sealing for Closing the Bronchi

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