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- Title
Bipolar vessel sealing increases operative safety in laparoscopic-assisted vaginal hysterectomy.
- Authors
Nouri, Kazem; Ott, Johannes; Demmel, Maurus; Promberger, Regina; Huber, Johannes; Mayerhofer, Klaus
- 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.
- Subjects
LAPAROSCOPIC surgery; VAGINAL hysterectomy; POSTOPERATIVE pain; SURGICAL complications; SURGERY safety measures; LIGATURE (Surgery); HEMOSTATICS; ENDOMETRIOSIS
- Publication
Archives of Gynecology & Obstetrics, 2011, Vol 283, Issue 1, p91
- ISSN
0932-0067
- Publication type
Article
- DOI
10.1007/s00404-009-1333-4