Bipolar vessel sealing increases operative safety in laparoscopic-assisted vaginal hysterectomy

Autor: Klaus Mayerhofer, Johannes Ott, Regina Promberger, Johannes C. Huber, M. Demmel, Kazem Nouri
Rok vydání: 2009
Předmět:
Zdroj: Archives of Gynecology and Obstetrics. 283:91-95
ISSN: 1432-0711
0932-0067
Popis: 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.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.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).The use of LigaSure™ is effective in decreasing operating time, the overall complication rate and postoperative pain.
Databáze: OpenAIRE
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