Utility of bipolar electrocautery scissors for abdominal hysterectomy

Dessole, Salvatore; Rubattu, G.; Capobianco, Giampiero; Caredda, Salvatore; Cherchi, Pl

doi:10.1067/mob.2000.105911

Cited by 9 publications

(4 citation statements)

References 11 publications

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“…Although some studies are suggesting that a bipolar vessel sealing system does not affect operative blood loss, [8][9][10] there are also reports of a reduction in operative blood loss. [10][11][12][13][14][15][16] Moreover, no p-value has been specified in some studies, which does not allow a make any robust inferences. 17,18 Operative time is one of the parameters which is included among the criteria used in a comparison of LSJI vs. conventional methods in hysterectomy.…”

Section: Discussionmentioning

confidence: 99%

“…In other studies, on contrary, a shorter duration of operation was counted when LSJI is employed than when conventional methods were used. [8][9][10][11][12][13][14]16,18,20 Such studies argue LSJI is timesaving for surgery as it enables a single-step accomplishment of ligation which otherwise has to be done through clamping, cutting, and suturing.…”

Section: Discussionmentioning

confidence: 99%

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

Ulubay¹,

Kıncı

Pay³

et al. 2021

Pak J Med Sci

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Objectives: To compare the use of Electrosurgical bipolar vessel sealing LigaSure™ small jaw instrument (LSJI) with conventional suture ligation in total abdominal hysterectomy (TAH). Methods: In this retrospective study 80 patients who underwent hysterectomy in the Gynecology and Obstetrics Department of Gulhane Education and Research Hospital between April 2017 and August 2018 were included. Two different groups that underwent Electrosurgical bipolar vessel sealing LigaSure™ small jaw instrument (LSJI) and conventional suture ligation in hysterectomy operation were analyzed retrospectively. The parameters evaluated and compared between the two groups include operation time, intraoperative blood loss, duration of hospitalization and incision length. Results: Among the parameters we compared between the two groups, there was no statistically significant difference between the amount of intraoperative blood loss (p:0.68) and the incision length (p:0.65). Among the parameters we compared between the two groups, a statistically significant difference was observed between the operation time (p:0.016) and the duration of hospitalization (p:0.01). Conclusion: Our comparison of LSJI vs. conventional ligation in hysterectomy revealed a significant difference only in operative time, where surgeries involving conventional ligation were shorter. On the other hand, incision length was evaluated in our study which has not been addressed in previous studies. There is also a need for multi-center studies that include more patients and evaluate cost-effectiveness. doi: https://doi.org/10.12669/pjms.38.1.4197 How to cite this:Ulubay M, Kinci MF, Pay RE, Dede M. Electrosurgical bipolar vessel sealing versus conventional clamping and suturing for total abdominal hysterectomy. Pak J Med Sci. 2022;38(1):---------. doi: https://doi.org/10.12669/pjms.38.1.4197 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

Ulubay¹,

Kıncı

Pay³

et al. 2021

Pak J Med Sci

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“…The efficiency may be improved by using bipolar scissors, which may lead to fewer bleedings and, therefore, decrease the time spent on checking for and stopping bleeding. 7 The efficiency may also be improved by decreasing the waiting time, which accounted for 10% of the total operative time (11 minutes). The change of instruments caused 39% of the waiting time; a more efficient instrument table may decrease this time.…”

Section: Surgical Procedures Have Mostly Been Analyzedmentioning

confidence: 99%

Evaluation of humeral head replacements using time-action analysis

Minekus¹,

Rozing²,

Valstar³

et al. 2003

Journal of Shoulder and Elbow Surgery

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“…The excursion of vibration increases with increased level of activity till it reaches 100 micrometers at level 5, where the coagulating power is minimum, while cutting power is maximum. 4,5 This takes place at a relatively low temperature causing a little injury compared with both electrocautery and laser energy. [6][7][8] The harmonic scalpel offers greater precision in tight spaces near vital structures where fewer instrument changes are needed , less tissue charring and desiccation occur and the visibility in the surgical field is improved.…”

Section: 3mentioning

confidence: 99%

A study showing efficacy of harmonic scalpel over electrocautery in modified radical mastectomy

2017

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INTRODUCTIONThe dissection in breast surgeries can be done using sharp scalpel and scissor dissection and high frequency electrocautery. Rarely, radiofrequency ablation and laser had been used in some limited trails. Ultrascission dissection (harmonic scalpel) and tissue response generation (ligaSure) are just started to be used in this field.1 The various methods used for tissue dissection practiced by surgeons include, sharp scalpel and scissors in dense and hard tissues which is liable to injure vital structures. Energy devices used in surgery include monopolar cautery, bipolar cautrery, harmonic scalpel and ligasure. Monopolar cautery offers an energy source that is excellent for hemostasis of small blood vessels, easy to use during tissue dissection, rapid, accurate and cheap. The major disadvantages of electrocautery are the limitations of the size of vessels (<1mm) to be sealed and the risk of exit site burn injury. Monopolar cautery also produces a large degree of smoke, especially if the tissues are moist, and it is ineffective within a liquid pool. 2,3The harmonic scalpel is a recently emerging surgical instrument that converts electrical energy into high frequency (55,000 Hz) mechanical vibrations that allows intraoperative cutting and coagulation at the same time. The excursion of vibration increases with increased level of activity till it reaches 100 micrometers at level 5, ABSTRACTBackground: The dissection in breast surgeries can be done using sharp scalpel and scissor dissection and high frequency electrocautery. Rarely, radiofrequency ablation and laser had been used in some limited trails. This study aims to prove the efficacy of harmonic scalpel over electrocautery in modified radical mastectomy operation. Methods: In this study, we included 40 patients with operable breast cancer. The patients were randomized into two equal groups by closed envelope technique to do modified radical mastectomy either using harmonic scalpel (group A) or using electrocautery (group B). The efficacy of two procedures were compared intraoperatively and postoperatively. The intraoperative parameters used were total time taken for surgery, time taken for axillary dissection, time for raising the flaps and time taken dissection of the breast tissue and the amount of blood loss. The post-operative parameters used were total drainage volume, days of drainage and seroma formation. Results: Our study showed use of harmonic sclalpel in modified radical mastectomy, resulted in reduction in total operating time (t= 4.037, p=0.00) as well as reduction in time taken for axillary dissection (t=3.66, p=0.001) and the amount of blood loss (t=3.02, p=0.00). The total drain volume (t=3.031, p=0.004) and the days of drainage (t=5.97, p=0.00) were also less with the harmonic scalpel dissection as compared to electrocautery. Conclusions: The use of harmonic scalpel in modified radical mastectomy shortens the operating time, axillary dissection time, amount of blood loss and drainage volume and drainage day and hence the hospital stay.

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Utility of bipolar electrocautery scissors for abdominal hysterectomy

Cited by 9 publications

References 11 publications

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

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

Evaluation of humeral head replacements using time-action analysis

A study showing efficacy of harmonic scalpel over electrocautery in modified radical mastectomy

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