Comparative Study of Electrosurgical Bipolar Vessel Sealing Using Ligasure versus Conventional Suturing for Total Abdominal Hysterectomy

Mohamed, Mohamed Anwar; Eid, Samia Mohamed; Ayad, Wael; Emam, Abdelrahman Ali Hassan

doi:10.21608/ijma.2020.22113.1079

Cited by 1 publication

(2 citation statements)

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“…Aiming to decrease blood loss in vaginal hysterectomy, use of LigaSure could be related to decrease of blood loss than conventional suturing. In addition, LigaSure if related to decrease of blood loss must be introduced as standard tool in vaginal hysterectomy at institution [7] .…”

Section: Discussionmentioning

confidence: 99%

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Comparative Study of Bipolar Vessel Sealing Clamp versus Traditional Method for Vaginal Hysterectomy

Ahmed,

Midan,

Elbassioune

2023

International Journal of Medical Arts

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Article informationBackground: Hysterectomy is a gynecological surgical procedure that has been linked to raised women morbidity and mortality. The two most common problems related to hysterectomy are bleeding and pain. Hemostatic measures are constantly evolving, and LigaSure could be one of the significant milestones in this field. Aim of the work:To compare impacts of electrical bipolar vessel sealing clamp and conventional suturing method in woman undergoing vaginal hysterectomy. Patients and Methods: This was a prospective comparative randomized controlled trial, included 40 women diagnosed with benign lesions in uterus and scheduled for vaginal hysterectomy. Patients were separated into two groups; group [A]: Electrical bipolar clamp sealing method [20 patients], and group [B]: Traditional suturing ligation method [20 patient]. Groups were compared regarding operative duration, intra operative blood loss, post-operative pain and short-term complications from operation until postoperative day fourteen. Results:The LigaSure group had significant short operative duration [53.95 ± 6.94 min. vs. 62.90 ± 7.28 min.; P= < 0.001] and less blood loss [P= 0.002] compared to conventional method. Postoperative analgesia requirement at evening after surgery, day-1 and day-2 was significantly lower among vessel sealing than among conventional.Postoperative analgesia requirement at week-6 was not required in both groups. Conclusion:The use of LigaSure device can decrease operative time.When compared to traditional suture ligatures, it allows for faster, safer and more useful hemostasis while decreasing operative blood loss, pain status and hospital stay.

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Section: Discussionmentioning

confidence: 99%

“…Mohamed et al [7] showed that 70 studied cases scheduled for elective hysterectomy were contained in study. They were divided into two groups of equal size [Ligasure [A] and Conventional suturing [B]].…”

Section: Discussionmentioning

confidence: 99%