Comparative Study of Bipolar Vessel Sealing Clamp versus Traditional Method for Vaginal Hysterectomy | ||||
| International Journal of Medical Arts | ||||
| Article 2, Volume 5, Issue 8, August 2023, Page 3486-3494 PDF (1.19 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ijma.2023.174211.1552 | ||||
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| Authors | ||||
Esraa Salah Ahmed  ; Mahmoud Farouk Midan; Walaa Mohamed Elbassioune
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| Department of Obstetrics and Gynecology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt | ||||
| Abstract | ||||
| Background: Hysterectomy is a gynecological surgical procedure that has been linked to raised women morbidity and mortality. The two most common problems related to hysterectomy are bleeding and pain. Hemostatic measures are constantly evolving, and LigaSure could be one of the significant milestones in this field. Aim of the work: To compare impacts of electrical bipolar vessel sealing clamp and conventional suturing method in woman undergoing vaginal hysterectomy. Patients and Methods: This was a prospective comparative randomized controlled trial, included 40 women diagnosed with benign lesions in uterus and scheduled for vaginal hysterectomy. Patients were separated into two groups; group [A]: Electrical bipolar clamp sealing method [20 patients], and group [B]: Traditional suturing ligation method [20 patient]. Groups were compared regarding operative duration, intra operative blood loss, post-operative pain and short-term complications from operation until postoperative day fourteen. Results: The LigaSure group had significant short operative duration [53.95 ± 6.94 min. vs. 62.90 ± 7.28 min.; P= < 0.001] and less blood loss [P= 0.002] compared to conventional method. Postoperative analgesia requirement at evening after surgery, day-1 and day-2 was significantly lower among vessel sealing than among conventional. Postoperative analgesia requirement at week-6 was not required in both groups. Conclusion: The use of LigaSure device can decrease operative time. When compared to traditional suture ligatures, it allows for faster, safer and more useful hemostasis while decreasing operative blood loss, pain status and hospital stay. | ||||
| Keywords | ||||
| Vaginal hysterectomy; Bipolar vessel sealing system; Ligasure | ||||
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