Use of the BiClamp (a bipolar coagulation forceps) in gynecological surgery

Abstract

The integration of new technical possibilities into the overall concept is the determining factor in progress in surgery. The availability of the BiClamp and its specially designed electrical concept mean that we now have a new bipolar coagulation forceps at our disposal. Based on the principles of electrosurgery, we developed a new current modulation that has improved hemostatic properties. The new current modulation can be used for bipolar laparoscopic coagulation forceps, and also for new types of forceps for open surgery. The main area of use in open surgery is vaginal hysterectomy. Initial retrospective studies all showed that the newly designed forceps are a successful surgical instrument. The use of the BiClamp for vaginal hysterectomy leads to less blood loss and less postoperative pain, with similar results in these respects to laparoscopic surgery. In some studies, the duration of surgery was shorter than with conventional vaginal hysterectomy, and in others of similar length. Prospective, randomized controlled studies have, however, yet to be performed. We are of the opinion that confirmation of the results achieved so far will increase the spectrum of indications for this bipolar coagulation forceps, leading to greater patient benefit.

Laparoscopic-Assisted Vaginal Hysterectomy with Bipolar Coagulation Cutting Forceps (Enseal® Trio Device) Versus Suture Technique Vaginally: A Comparative Analysis

“…6 Zubke et al evaluated the BiClamp Device and showed a 21% decrease in OR time and decreased blood loss. 9 Hefni et al 4 and Cronze and Coning 1 showed similar results. A labial burn was the only complication noted in two studies.…”

“…9 Surgeons are always seeking improvements in techniques that improve the patient's surgical experience.…”

Feasibility of early discharge following vaginal hysterectomy with a bipolar electrocoagulation device

“…Without the BiClamp device, several patients in the present study would have required abdominal surgery because of the size of their uterus or the lack of access/descent. Zubke et al . describe the BiClamp device as being particularly good in technically challenging cases where access is limited.…”

Vergleich zweier Instrumente zur Gefäßversiegelung bei der laparaskopisch-assistierten Ovariohysterektomie der Hündin

“…Various types of VSDs are described in the literature, including the LigaSure™ (5,20), Enseal® (15,17) marSeal (13,14), BiClamp® (31), and Sonicision™ cordless ultra-sonic dissector (24). In 2012 a new VSD called Caiman® (Aesculap® -a B. Braun company, Aesculap AG, Tuttlingen, Germany) was introduced into the market and approved by the Food and Drug Administration for vessels up to 7 mm in diameter (7).…”