Abstract
ABSTRACTObjectives:To compare the use of Electrosurgical bipolar vessel sealing LigaSure™ small jaw instrument (LSJI) with conventional suture ligation in total abdominal hysterectomy (TAH).Methods:In this retrospective study 80 patients who underwent hysterectomy in the Gynecology and Obstetrics Department of Gulhane Education and Research Hospital between April 2017 and August 2018 were included. Two different groups that underwent Electrosurgical bipolar vessel sealing LigaSure™ small jaw instrument (LSJI) and conventional suture ligation in hysterectomy operation were analyzed retrospectively. The parameters evaluated and compared between the two groups include operation time, intraoperative blood loss, duration of hospitalization and incision length.Results:Among the parameters we compared between the two groups, there was no statistically significant difference between the amount of intraoperative blood loss (p:0.68) and the incision length (p:0.65). Among the parameters we compared between the two groups, a statistically significant difference was observed between the operation time (p:0.016) and the duration of hospitalization (p:0.01).Conclusion:Our comparison of LSJI vs. conventional ligation in hysterectomy revealed a significant difference only in operative time, where surgeries involving conventional ligation were shorter. On the other hand, incision length was evaluated in our study which has not been addressed in previous studies. There is also a need for multi-center studies that include more patients and evaluate cost-effectiveness.
Highlights
Hysterectomy is one of the most commonly performed surgical procedures in women
Vaginal hysterectomy (VH) remains the gold standard, technological advances have enabled a trend towards Laparoscopic Hysterectomy (LH) and Robotic Hysterectomy (RH), numerous variations of which have been described.[2,3,4]
The total abdominal hysterectomy (TAH)+Bilateral salpingo-oophorectomy (BSO) group, 30 patients were treated with LigaSureTM small jaw instrument (LSJI) and 33 patients were treated with the conventional method
Summary
Hysterectomy is one of the most commonly performed surgical procedures in women. Estimates suggest that one in nine women will undergo hysterectomy during their lifetime and that approximately 600,000 procedures are performed each year in the United States.[1] The first technique introduced was total abdominal hysterectomy (TAH) which was mostly succeeded by minimally invasive methods over time. The device fuses vessels up to 2–7 mm in diameter.[7] In addition to minimally invasive procedures, the use of electrothermal coagulation has been expanded within years to hemorrhoidectomy, thyroidectomy, and certain abdominal surgeries.[5,6] Conventional versus technology-aided hysterectomy modalities have been compared by some studies both for intraoperative and postoperative parameters
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