Laparoscopic salpingectomy: electrosurgery or sutures?

Abstract

Objective To determine the optimal haemostatic method during laparoscopic salpingectomy. Design Observational study. Setting The Royal Free Hospital, London and Mansoura University Hospital, Egypt. Subjects 72 patients undergoing laparoscopic salpingectomy for various indications. Design The patients were randomly allocated to one of two groups in which bipolar electrosurgery or pre-tied sutures were used as the primary method of haemostasis. The two groups were compared with regard to several intraoperative and postoperative variables. Results The times required for securing and cutting the fallopian tube and for completing the procedures were shorter in the bipolar electrosurgery group than in the suture group, but the differences were not statistically significant. There were no significant differences between the groups with regard to any of the intraoperative or postoperative follow-up variables. Conclusion Bipolar electrosurgery and suturing are equally effective for laparoscopic salpingectomy. Although many prefer to use bipolar electrosurgery for this procedure, the choice between different modalities will still depend upon the surgeon's preference and the circumstances obtaining during the procedure.