Bipolar vessel sealing increases operative safety in laparoscopic-assisted vaginal hysterectomy.
Arch Gynecol Obstet
; 283(1): 91-5, 2011 Jan.
Article
em En
| MEDLINE
| ID: mdl-20039049
ABSTRACT
BACKGROUND:
To compare laparoscopic-assisted vaginal hysterectomy (LAVH) with and without bipolar vessel sealing (BVS) using the LigaSure™ device by meanings of intra- and postoperative course.METHODS:
In a retrospective case-control study 362 female patients (mean age 54.3 ± 9.5 years) were included who underwent LAVH with (n = 252) and without (n = 110) use of BVS. Intra- and postoperative courses and adverse events were evaluated.RESULTS:
A shorter mean operating time was found for LAVH with the use of BVS (65.28 ± 16.33 min) when compared with LAVH without the use of BVS (83.73 ± 21.53 min, P < 0.005). The mean postoperative stay did not differ significantly between the two groups (P > 0.05); 15 out of 251 (6.0%) patients were found to have adverse events during or after LAVH with the use of BVS in contrast to 16 out of 110 (14.5%) patients during or after LAVH without the use of BVS (P < 0.05). Following the use of BVS significantly less patients reported postoperative pain for more than 7 days after the operation in contrast to the use of sutures (0/251 [0%] vs. 3/110 [2.7%], respectively, P < 0.05).CONCLUSION:
The use of LigaSure™ is effective in decreasing operating time, the overall complication rate and postoperative pain.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Técnicas de Sutura
/
Laparoscopia
/
Histerectomia Vaginal
Idioma:
En
Ano de publicação:
2011
Tipo de documento:
Article