Electrosurgical bipolar vessel sealing versus conventional clamping and suturing for total abdominal hysterectomy

Ulubay, Mustafa; Kıncı, Mehmet Ferdi; Pay, Ramazan Erda; Dede, Murat

doi:10.12669/pjms.38.1.4197

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…Safe hemostasis has always been a main topic in surgery [ 17 ]. Surgical advancements have introduced energy-based vessel sealing (EBVS) devices, reducing operative duration and blood loss compared to traditional suture ligation techniques [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Optimizing Hysterectomy: A Prospective Comparative Analysis of Surgical Techniques and Their Impact on Women’s Lives

Yurtkal,

Canday

2024

JPM

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Study Objective: To investigate diverse hysterectomy techniques to determine their influence on patient outcomes, including pain levels, sexual function, anxiety, and quality of life. Of particular focus is the comparison between vessel sealing and traditional suturing in abdominal, vaginal, and laparoscopic hysterectomies. This study is unique in its comprehensive evaluation, considering patient satisfaction, recommendation rates, recovery times, and various other aspects. Method: Our prospective cohort study adhered to ethical guidelines, involving a meticulous assessment of patients, including medical history, anxiety levels, pelvic pain, sexual function, and quality of life. Surgical methods were explained to patients, allowing them to actively participate in the decision-making process. Sociodemographic information was collected, and exclusion criteria were applied. Hysterectomy methods included total abdominal hysterectomy (TAH), laparoscopic hysterectomy (TLH), vaginal hysterectomy (VH), and a modified vaginal technique known as VH Mujas. Several parameters were recorded, including operation indications, uterine volume, hospital stay, operation duration, pre-operative and post-operative complications, and more. Results: In all groups, a statistically significant increase was found in pre-operative–post-operative FSFI sexual function values (p < 0.001). The patient’s basal Beck Anxiety Scale scores significantly decreased following the decision for vaginal surgery, both in the VH and VH Mujas groups (p < 0.05). However, Beck Anxiety Scale scores at patients’ initial assessments significantly increased following the decision for abdominal and laparoscopic surgery (p < 0.001). According to the results of the SF-36 quality of life assessment, an increase was observed in all post-operative quality of life parameters in patients who underwent surgery with different methods due to VH (p < 0.05). Conclusions: Our comprehensive comparison of hysterectomy techniques demonstrated that VH, particularly when utilizing the Mujas technique, outperforms other hysterectomy methods regarding patient safety and post-operative satisfaction but also offers the benefit of minimal invasiveness. Notably, this is reflected in improved quality of life, enhanced sexual function, lower pain scores, and favorable cosmetic results. The success of a hysterectomy procedure depends on precise indications, surgical planning, proper patient selection, and effective communication. This study emphasizes the significance of these factors in achieving optimal outcomes. The development of specialized vascular closure devices can further enhance the feasibility of vaginal hysterectomy, making it a preferable choice in gynecological surgery. The study contributes valuable insights into selecting the most suitable hysterectomy method for patients and optimizing their recovery.

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Section: Discussionmentioning

confidence: 99%

Optimizing Hysterectomy: A Prospective Comparative Analysis of Surgical Techniques and Their Impact on Women’s Lives

Yurtkal,

Canday

2024

JPM

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“…Liga sure, low-voltage controlled highpower current is used to melt collagen and elastin in tissue, resulting in permanent fusion of vascular layers and obliteration of lumen. Device fuses vessels with diameters ranging from two to seven mm [6] . In order to evaluate the hemostatic effect and other surgical outcomes, the present study was conducted to compare between electrical bipolar vessel sealing clamp and conventional suturing method in patients scheduled for vaginal hysterectomy.…”

Section: Introductionmentioning

confidence: 99%

Comparative Study of Bipolar Vessel Sealing Clamp versus Traditional Method for Vaginal Hysterectomy

Ahmed,

Midan,

Elbassioune

2023

International Journal of Medical Arts

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Article informationBackground: Hysterectomy is a gynecological surgical procedure that has been linked to raised women morbidity and mortality. The two most common problems related to hysterectomy are bleeding and pain. Hemostatic measures are constantly evolving, and LigaSure could be one of the significant milestones in this field. Aim of the work:To compare impacts of electrical bipolar vessel sealing clamp and conventional suturing method in woman undergoing vaginal hysterectomy. Patients and Methods: This was a prospective comparative randomized controlled trial, included 40 women diagnosed with benign lesions in uterus and scheduled for vaginal hysterectomy. Patients were separated into two groups; group [A]: Electrical bipolar clamp sealing method [20 patients], and group [B]: Traditional suturing ligation method [20 patient]. Groups were compared regarding operative duration, intra operative blood loss, post-operative pain and short-term complications from operation until postoperative day fourteen. Results:The LigaSure group had significant short operative duration [53.95 ± 6.94 min. vs. 62.90 ± 7.28 min.; P= < 0.001] and less blood loss [P= 0.002] compared to conventional method. Postoperative analgesia requirement at evening after surgery, day-1 and day-2 was significantly lower among vessel sealing than among conventional.Postoperative analgesia requirement at week-6 was not required in both groups. Conclusion:The use of LigaSure device can decrease operative time.When compared to traditional suture ligatures, it allows for faster, safer and more useful hemostasis while decreasing operative blood loss, pain status and hospital stay.

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Outcomes and recurrence rates of four surgical techniques for treating vaginal vault prolapse

Akay,

Şahin,

Kalaycı Öncü

et al. 2024

gulhane

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Electrosurgical bipolar vessel sealing versus conventional clamping and suturing for total abdominal hysterectomy

Cited by 3 publications

References 14 publications

Optimizing Hysterectomy: A Prospective Comparative Analysis of Surgical Techniques and Their Impact on Women’s Lives

Optimizing Hysterectomy: A Prospective Comparative Analysis of Surgical Techniques and Their Impact on Women’s Lives

Comparative Study of Bipolar Vessel Sealing Clamp versus Traditional Method for Vaginal Hysterectomy

Outcomes and recurrence rates of four surgical techniques for treating vaginal vault prolapse

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