Elhao, M., Abdallah, K., Serag, I., El-Laithy, M. and Agur, W. (2009) Efficacy of using electrosurgical bipolar vessel sealing during vaginal hysterectomy in patients with different degrees of operative difficulty: a randomised controlled trial. European Journal of Obstetrics and Gynecology and Reproductive Biology, 147(1), pp. 86-90. (doi: 10.1016/j.ejogrb.2009.07.011)
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Publisher's URL: http://dx.doi.org/10.1016/j.ejogrb.2009.07.011
Abstract
Objective<p></p> To assess the efficacy of electrosurgical bipolar vessel sealing using the LigaSure® system during vaginal hysterectomy in comparison with conventional suture ligation method.<p></p> Study design<p></p> 103 patients undergoing vaginal hysterectomy for benign conditions were randomised to either LigaSure® or Suture groups. Each group was divided into two subgroups according to the degree of surgical difficulty.<p></p> Results<p></p> Participants in the LigaSure® had shorter procedure time (52.5 min vs. 90 min; p < 0.001) and less blood loss (230 ml vs. 360 ml; p < 0.001). Complication rates were not statistically different between the two groups. The advantage of the LigaSure® system in reducing the operative blood loss was more pronounced in the more difficult <p></p>procedures. Conclusion<p></p> The LigaSure® system reduces the operating time (by reducing pedicle-securing time) and blood loss without increasing the post-operative complication rates of vaginal hysterectomy. This beneficial effect was found to be more pronounced in difficult procedures.
| Item Type: | Articles |
|---|---|
| Status: | Published |
| Refereed: | Yes |
| Glasgow Author(s) Enlighten ID: | Agur, Dr Wael |
| Authors: | Elhao, M., Abdallah, K., Serag, I., El-Laithy, M., and Agur, W. |
| College/School: | College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing |
| Journal Name: | European Journal of Obstetrics and Gynecology and Reproductive Biology |
| Publisher: | Elsevier |
| ISSN: | 0301-2115 |
| ISSN (Online): | 1872-7654 |
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