Abstract
Objective To compare the progress of patients undergoing abdominal hysterectomy using either surgical staples or conventional sutures for the ovarian and uterine pedicles. Design A prospective randomized controlled study. Setting A teaching hospital gynaecology unit. Subjects 24 women presenting for abdominal hysterectomy. Interventions Routine abdominal hysterectomy was undertaken. Uterine and ovarian pedicles were either ligated conventionally or secured by surgical staples. Main outcome measures These were: duration of operation, blood loss, length of hospital stay and recovery parameters. Results There were no difficulties in applying the staples in this pilot study and there was no difference in the outcomes between the two methods. Conclusions Although the use of surgical staples is an attractive principle, this pilot study could not demonstrate an advantage to justify the cost. Further evaluation may be indicated.
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