Single-Use Energy Sources and Operating Room Time for Laparoscopic Hysterectomy: A Randomized Controlled Trial

Holloran-Schwartz, M.B.; Gavard, Jeffrey A.; Martín, J.; Blaskiewicz, Robert J.; Yeung, Patrick

doi:10.1016/j.jmig.2015.08.881

Cited by 19 publications

(10 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several clinical studies have been reported in the literature comparing either LigaSure or Enseal with the conventional bipolar device. LigaSure was compared with conventional bipolar device in two studies, the results of which agreed that LigaSure reduced operative time significantly. Enseal was also compared with conventional bipolar device by Rothmund et al .…”

Section: Discussionmentioning

confidence: 82%

Comparison of the efficacy and safety of two advanced vessel sealing technologies in total laparoscopic hysterectomy

Yüksel

Karadağ

Mulayim

2019

J of Obstet and Gynaecol

View full text Add to dashboard Cite

Aim: Adequately powered, randomized controlled studies evaluating efficacy and safety of advanced bipolar energy devices in gynecologic laparoscopic surgery are very few. We aimed to compare the two most commonly used devices in total laparoscopic hysterectomy. Methods: This randomized controlled trial was carried out in the department of obstetrics and gynecology in an education and research hospital. One hundred thirty-two women who underwent total laparoscopic hysterectomy for benign indications were included. Women with age younger than 18 years, suspected malignancy, stage 3-4 endometriosis and cervical/intraligamentary leiomyoma were excluded. Patients were randomized preoperatively to LigaSure or Articulating Enseal. One experienced surgeon performed all operations. Results: LigaSure was used in 67 patients and Enseal was used in 65 patients. Primary outcomes of the study were operative time (time from start of sealing and transection of the round ligament until completion of colpotomy) and total operative time (time from skin incision to skin closure). Secondary outcomes were intraoperative blood loss (blood lost during operative time period) and perioperative complications. Operative time was significantly shorter in LigaSure group (P = 0.001). Total operative time, intraoperative blood loss and perioperative complications were similar. When two groups were further classified according to uterine weight taking 300 g as cut-off value, operative time was significantly shorter in LigaSure group in both subgroups (P = 0.003 and P = 0.007). Conclusion: LigaSure use in total laparoscopic hysterectomy shortens operative time when compared with Enseal; without an apparent increase in intraoperative blood loss and perioperative complications. On the other side, total operative time remains unaffected.

show abstract

Section: Discussionmentioning

confidence: 82%

Comparison of the efficacy and safety of two advanced vessel sealing technologies in total laparoscopic hysterectomy

Yüksel

Karadağ

Mulayim

2019

J of Obstet and Gynaecol

View full text Add to dashboard Cite

show abstract

“…The specialized expertise level of the specialist and the learning about the device are both critical variables in choosing safe results. Holloran-Schwartz et al, 18 in a randomized control trial of 46 laparoscopic hysterectomy patients, compared …”

Section: Resultsmentioning

confidence: 99%

Perspective of Electrosurgical Sources in Minimal Access Surgery

Lekhi¹,

Chowhan²,

Mishra³

2016

WJOLS

View full text Add to dashboard Cite

Introduction: There are devices that apply energy to cut, coagulate, and desiccate the tissue with minimal bleeding and by overcoming the hindrance of laparoscopy facilitate minimal access surgery. The inappropriate utilization of electrosurgical devices may expand horrible morbidity and mortality. The present article surveys different electrosurgical sources as far as their basic uses and safe practices.

show abstract

“…Conventional or advanced surgical instruments serve as mediators in conducting the current released from electrosurgical generators to tissue and creating the desired effect [14, 16]. …”

Section: Discussionmentioning

confidence: 99%

“…Therefore, bipolar systems are deemed to be safer than monopolar systems [16]. In spite of the advanced surgical instruments attached to ESUs that enable “vessel sealing properties” in laparoscopic surgery, conventional monopolar and bipolar systems are still popular [14, 16, 20]. The majority of laparoscopists still prefer conventional monopolar and bipolar surgical tools [21].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of the Thermal Spread of Three Different Electrosurgical Generators on Rat Uterus: A Preliminary Experimental Study

Karacan

Usta

Ozkaynak

et al. 2018

Gynecol Obstet Invest

View full text Add to dashboard Cite

Background/Aims: The objective of this study was to compare the depth and width of thermal spread caused on rat uterine tissue after application of 3 different electrosurgical generators. Methods: Alsa Excell 350 MCDSe (Unit A), Meditom DT-400P (Unit M), and ERBE Erbotom VIO 300 D (Unit E) electrosurgical units (ESUs) were used. The number of Wistar Hannover rats required to obtain valid results was 10. The primary objective of the study was to compare the 3 ESUs using the same instrument and the same waveform. The secondary objective of the study was to compare the differences between monopolar and bipolar systems of each ESU separately using the same waveform. Results: The thermal spread caused by each ESU using monopolar instruments with continuous and interrupted waveforms was significantly different. Among the 3 devices, Unit A caused the largest thermal uterine tissue spread. On the other hand, Unit E caused the most superficial thermal tissue spread, and the smallest thermal spread among all ESUs. Conclusions: Surgeons should note that different ESUs used with the same power output might create different thermal effects especially in the monopolar configuration within the same waveform, for the same duration, and with the same instrument.

show abstract

Single-Use Energy Sources and Operating Room Time for Laparoscopic Hysterectomy: A Randomized Controlled Trial

Cited by 19 publications

References 15 publications

Comparison of the efficacy and safety of two advanced vessel sealing technologies in total laparoscopic hysterectomy

Comparison of the efficacy and safety of two advanced vessel sealing technologies in total laparoscopic hysterectomy

Perspective of Electrosurgical Sources in Minimal Access Surgery

Comparison of the Thermal Spread of Three Different Electrosurgical Generators on Rat Uterus: A Preliminary Experimental Study

Contact Info

Product

Resources

About