Application of a New Integrated Bipolar and Ultrasonic Energy Device in Laparoscopic Hysterectomies

Lin, Harvard Zhenjia; Ng, Yue‐Harn; Agarwal, Anupriya; Fong, Yoke Fai

doi:10.1155/2013/453581

Cited by 5 publications

(4 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…LigaSure and Enseal are among new generation advanced bipolar devices that are in common use . These devices create a seal in vessels that can withstand three times normal systolic blood pressure with little thermal spread, but differ from each other at some points.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the efficacy and safety of two advanced vessel sealing technologies in total laparoscopic hysterectomy

Yüksel

Karadağ

Mulayim

2019

J of Obstet and Gynaecol

View full text Add to dashboard Cite

Aim: Adequately powered, randomized controlled studies evaluating efficacy and safety of advanced bipolar energy devices in gynecologic laparoscopic surgery are very few. We aimed to compare the two most commonly used devices in total laparoscopic hysterectomy. Methods: This randomized controlled trial was carried out in the department of obstetrics and gynecology in an education and research hospital. One hundred thirty-two women who underwent total laparoscopic hysterectomy for benign indications were included. Women with age younger than 18 years, suspected malignancy, stage 3-4 endometriosis and cervical/intraligamentary leiomyoma were excluded. Patients were randomized preoperatively to LigaSure or Articulating Enseal. One experienced surgeon performed all operations. Results: LigaSure was used in 67 patients and Enseal was used in 65 patients. Primary outcomes of the study were operative time (time from start of sealing and transection of the round ligament until completion of colpotomy) and total operative time (time from skin incision to skin closure). Secondary outcomes were intraoperative blood loss (blood lost during operative time period) and perioperative complications. Operative time was significantly shorter in LigaSure group (P = 0.001). Total operative time, intraoperative blood loss and perioperative complications were similar. When two groups were further classified according to uterine weight taking 300 g as cut-off value, operative time was significantly shorter in LigaSure group in both subgroups (P = 0.003 and P = 0.007). Conclusion: LigaSure use in total laparoscopic hysterectomy shortens operative time when compared with Enseal; without an apparent increase in intraoperative blood loss and perioperative complications. On the other side, total operative time remains unaffected.

show abstract

Section: Introductionmentioning

confidence: 99%

Comparison of the efficacy and safety of two advanced vessel sealing technologies in total laparoscopic hysterectomy

Yüksel

Karadağ

Mulayim

2019

J of Obstet and Gynaecol

View full text Add to dashboard Cite

show abstract

“…Numerous studies have compared the effectiveness of LigaSure and Harmonic devices in various surgical fields, such as endocrine, colorectal, and gynecological surgery [19][20][21][22]. However, the best available evidence, particularly in laparoscopic procedures, is limited.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of LigaSure Versus Harmonic Devices in Laparoscopic Sleeve Gastrectomy: A Systematic Review and Meta-Analysis

Alharran,

Alenezi,

Hammoud

et al. 2024

Cureus

View full text Add to dashboard Cite

Our goal is to conduct a thorough systematic review and meta-analysis of comparative studies to evaluate the efficacy of LigaSure (Valleylab, Boulder, CO) compared with Harmonic (Ethicon Endo-Surgery, Inc., Cincinnati, OH) devices in patients undergoing laparoscopic sleeve gastrectomy (LSG). Our search strategy, from inception until March 1, 2024, involved multiple databases, including the Cochrane Controlled Register of Trials (CENTRAL), Web of Science (WOS), PubMed, Scopus, and Google Scholar. We evaluated randomized clinical trials using the Cochrane Risk of Bias tool for randomized trials (RoB-2) tool and non-randomized studies using the Risk of Bias In Non-randomized Studies for Interventions (ROBINS-I) tool. The primary outcomes assessed were operative time, mean length of hospital stay, and the rates of intraoperative complications such as bleeding, organ injury, leakage, and hematoma formation. Additionally, we collected data on postoperative complications, including bleeding, abscess formation, leakage, fever (>38°C), and reoperation rates. Data were analyzed using random-effects models and reported as mean difference (MD) or risk ratio (RR) with a 95% confidence interval (CI) using Review Manager software (RevMan, version 5.4 for Windows, The Cochrane Collaboration, 2020). Four studies, comprising two randomized clinical trials (RCTs) and two retrospective cohort studies, involving a total of 692 patients, were included in the analysis. Both the operative time and length of hospital stay did not significantly differ between the LigaSure and Harmonic groups (p>0.05). The pooled analysis also revealed no significant difference between the LigaSure and Harmonic groups in terms of intraoperative and postoperative complications (p>0.05). In conclusion, our systematic review and meta-analysis found no significant statistical or clinical differences between LigaSure and Harmonic devices in terms of operative outcomes and complication rates in patients undergoing LSG.

show abstract

“…The jaw is designed to provide precise, controlled dissection and continuous bipolar support with grasping capability. 8 24 …”

Section: Commonly Used Electrosurgical Devices In Minimally Invasive mentioning

confidence: 99%

“…However, this involves high instrument cost, thermal spread, and sticking and charring of tissues. 8 9 Monopolar electrosurgery is most commonly used modality in laparoscopic surgeries because of its low cost, general availability, and diverse range of available tissue effects. However, potential shortcomings of monopolar electro-surgery, including the need for a dispersive electrode, the relatively high power settings, the possibility of stray current injuries, and the inability to seal vessels larger than 1–2 mm diameter, led to the development of conventional bipolar electro-surgery.…”

Section: Introductionmentioning

confidence: 99%

“Energy devices in gynecological laparoscopy – Archaic to modern era”

Jaiswal

Huang

2017

Gynecology and Minimally Invasive Therapy

View full text Add to dashboard Cite

The introduction of newer vessel sealing systems has revolutionized techniques of hemostasis during laparoscopic surgery. These devices allow for rapid sequential tissue and vessel sealing, coagulation, and transection. Despite of widespread use of newer advanced bipolar and ultrasonic devices, monopolar and conventional bipolar electro-surgery still carry weightage due to wider range of tissue effect, dissection capabilities, cost effectiveness, and ease of availability. Here in we discussed different types of commonly available energy sources in terms of mechanism, efficacy and safety as thorough knowledge is utmost important for surgeon to choose appropriate instrument for surgical procedure.

show abstract

Application of a New Integrated Bipolar and Ultrasonic Energy Device in Laparoscopic Hysterectomies

Cited by 5 publications

References 9 publications

Comparison of the efficacy and safety of two advanced vessel sealing technologies in total laparoscopic hysterectomy

Comparison of the efficacy and safety of two advanced vessel sealing technologies in total laparoscopic hysterectomy

Efficacy of LigaSure Versus Harmonic Devices in Laparoscopic Sleeve Gastrectomy: A Systematic Review and Meta-Analysis

“Energy devices in gynecological laparoscopy – Archaic to modern era”

Contact Info

Product

Resources

About