•  
  •  
 

Subject Area

Obstetrics and Gynecology

Article Type

Original Study

Abstract

Objective This study aimed to compare electrothermal bipolar-vessel sealing (EBVS) with the conventional suturing during the abdominal hysterectomy, as well as to compare the conventional bipolar-sealing system with the advanced one. Background Gynecologic surgery is frequently complicated by hemorrhage. Thus, it is mandatory to adopt adequate techniques of hemostasis during surgery. Patients and methods The study was conducted on 60 patients with indications for abdominal hysterectomy, they were divided equally into two groups: group I consisted of 30 patients who underwent abdominal hysterectomy with the use of the EBVS, either advanced; LigaSure (15 patients), or conventional; Seal, and group II consisted of 30 patients who underwent conventional abdominal hysterectomy. The primary outcome was the differences between the study and control group regarding the operative events and postoperative outcome, and the secondary outcome was the differences between the two subgroups of group I regarding the same parameters. Results The conventional hysterectomy group showed significantly higher operative time, blood loss, length of hospital stay, the days needed for returning to the usual activities, pain scores, and lower Ht (%). No significant differences were noted between both subgroups of group I, except in the day 3 pain score. Conclusion EBVS is an expensive but effective alternative to the conventional sutures in the abdominal hysterectomy for a benign condition. The advanced bipolar system (LigaSure) is comparable to the conventional one (Seal).

Download

Share

COinS