Vaginal Total Hysterectomy in Benign Indications: Hysterectomy Techniques with Bipolar Diathermy System

Mehta, Sumita; Singla, Anshuja

doi:10.1007/978-3-319-22497-8_118

Cited by 1 publication

(3 citation statements)

References 29 publications

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“… 2 - 4 Lately, conventional suture ligation techniques employed in such procedures are being replaced by laser applications and various electrothermal and ultrasonic coagulation methods. 5 , 6…”

Section: Introductionmentioning

confidence: 99%

“…7 In addition to minimally invasive procedures, the use of electrothermal coagulation has been expanded within years to hemorrhoidectomy, thyroidectomy, and certain abdominal surgeries. 5 , 6 Conventional versus technology-aided hysterectomy modalities have been compared by some studies both for intraoperative and postoperative parameters.…”

Section: Introductionmentioning

confidence: 99%

“…[2][3][4] Lately, conventional suture ligation techniques employed in such procedures are being replaced by laser applications and various electrothermal and ultrasonic coagulation methods. 5,6 During electrothermal coagulation, a controlled high-power current at low voltage from a device is used to melt the collagen and elastin in tissue, leading to permanent fusion of the vascular layers and obliteration of the lumen. The device fuses vessels up to 2-7 mm in diameter.…”

Section: Introductionmentioning

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: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%