Single Pedicle Ligation; A New Surgical Technique to Lower Hospital Cost of Abdominal Hysterectomy among Developing Countries – A Pilot Study
Adel Tharwat, A., Ghanem, R., Salem, E. (2025). Single Pedicle Ligation; A New Surgical Technique to Lower Hospital Cost of Abdominal Hysterectomy among Developing Countries – A Pilot Study. EKB Journal Management System, 29(2), 75-84. doi: 10.21608/egyfs.2025.417774
Ahmed Adel Tharwat; Reda Mokhtar Kamal Ghanem; Eman Abdallah Hassan Salem. "Single Pedicle Ligation; A New Surgical Technique to Lower Hospital Cost of Abdominal Hysterectomy among Developing Countries – A Pilot Study". EKB Journal Management System, 29, 2, 2025, 75-84. doi: 10.21608/egyfs.2025.417774
Adel Tharwat, A., Ghanem, R., Salem, E. (2025). 'Single Pedicle Ligation; A New Surgical Technique to Lower Hospital Cost of Abdominal Hysterectomy among Developing Countries – A Pilot Study', EKB Journal Management System, 29(2), pp. 75-84. doi: 10.21608/egyfs.2025.417774
Adel Tharwat, A., Ghanem, R., Salem, E. Single Pedicle Ligation; A New Surgical Technique to Lower Hospital Cost of Abdominal Hysterectomy among Developing Countries – A Pilot Study. EKB Journal Management System, 2025; 29(2): 75-84. doi: 10.21608/egyfs.2025.417774

Single Pedicle Ligation; A New Surgical Technique to Lower Hospital Cost of Abdominal Hysterectomy among Developing Countries – A Pilot Study

The Egyptian Journal of Fertility and Sterility
Volume 29, Issue 2 - Serial Number 11106352, March 2025, Page 75-84  XML PDF (240.81 K)
Document Type: Original Article
DOI: 10.21608/egyfs.2025.417774
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Authors
Ahmed Adel Tharwat1; Reda Mokhtar Kamal Ghanem1; Eman Abdallah Hassan Salem email 2
1Department of Obstetrics & Gynecology, Faculty of Medicine, Ain Shams University
2Department of Obstetrics & Gynecology, Faculty of Medicine, Ain Shams University
Abstract
Background: Although minimally invasive approaches to hysterectomy are the preferred route, an open abdomi-nal hysterectomy remains an important surgical option for some patients.   
Objective: Assessment of single pedicle ligation as a new surgical technique aiming to decrease abdominal hyster-ectomy related bleeding and costs among developing countries compared with conventional sutures.    
Patients and Methods: A total of 40 women candidates for elective total abdominal hysterectomy and/or bilateral salpingio-oophorectomy were enrolled and divided into two equal groups. Group A (control group) was subjected to classic technique and group B (study group) subjected to single pedicle ligation technique. After surgery, both groups were compared regarding number of polyglactin 910 suture ampoules used all over the surgery and esti-mated blood loss. 
Results: The study revealed that although there were dif-ferences favouring this new surgical technique over clas-sic surgical technique, as drop 0.78% less in Hematocrit value, 4%less in mean estimated blood loss , 25% less in drain use and 25% less blood transfusion.But these results had no statistical significant difference. 
Conclusion: In women undergoing abdominal hyster-ectomy single pedicle ligation surgical technique help in lowering surgical related blood loss and costs with no sta-tistically significant difference compared with traditional methods.
Keywords
Single Pedicle Ligation; Abdominal Hyster-ectomy; Developing Countries
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