Comparison of efficacy of bipolar electrosurgical vessel sealing with conventional suturing in securing vascular pedicles during vaginal hysterectomy

Abstract

Background: During vaginal hysterectomy, pedicles are usually secured by conventional suturing but it may be difficult many a times. Electrosurgical bipolar vessel sealing in vaginal hysterectomy is safe and effective alternative for securing pedicles. Aims & Objectives: Aim of the study is to compare the efficacy of vessel sealing for securing pedicles in vaginal hysterectomy as compared to conventional suturing in terms of operating time, perioperative blood loss, postoperative pain and short-term surgical complications. Materials and Methods: This was a randomized controlled trial study done in our institute during a period of one year. Two groups were formed, one was control group I (total 60 patients), wherein, conventional suturing was done and other was study group II (total 65 patient) where Ligasure vessel seal was used for securing pedicles, irrespective of age and parity. Data of patients were collected and statistical analysis was performed using SPSS version software. Results: Group II shows significant reduction in operative time compared to control group (p =0.0001). There was significant difference between 2 groups in operative blood loss (p =0.0001) and post-operative pain (p=0.0001). None of the patients had major surgical complications. Conclusion: The Ligasure vessel sealing system is a safe alternative for securing pedicles in vaginal hysterectomy when compare with conventional suture ligation.