Laparoscopic salpingectomy in tubal pregnancy: Prospective randomized trial using endoloop versus electrocautery

Abstract

The endoloop appeared to be as effective as electrocautery and is a safe alternative to electrocautery for laparoscopic salpingectomy in tubal pregnancy.

Single-port laparoscopic ovariectomy using a pre-tied loop ligature in Santa Ines ewes

“…It was observed that bitches undergoing open technique had significant decreases in activity postoperatively than those undergoing laparoscopy. Furthermore, the use of pre-tied ligatures resulted in lower post-surgical pain score in women submitted to salpingectomy compared to electrocoagulation (LIM et al, 2007). In contrast, other studies regarding the feline specie revealed that pain score was significantly higher in those submitted to extracorporeal ligature in comparison to bipolarsealing device for hemostasis of the pedicles (COISMAN et al, 2014).…”

“…In humans, endoloop ligature was carried out in shorter surgical time and caused less postoperative pain then the electrocoagulation for salpingectomy (LIM et al, 2007). However, no reports regarding the use of pre-tied ligature for ovariectomy in the ovine specie was found in the current literature, furthermore this technique could also be performed in other females including women.…”

“…In other trial, bilateral ovariectomy was performed in standing mares using slipknot ligatures in minimum of 50 and maximum of 120 minutes (BOURÉ et al, 1997). In human patients, obtained shorter surgical time was found using pre-tied ligatures in comparison to the use of monopolar electrocoagulation for salpingectomy (LIM et al, 2007), and to the use of hemostatic clips in gastrotomy (KATSARELIAS, 2007). The high value for surgical time found in our study may have occurred due to the surgical team's short learning curve on such surgical technique.…”

“…In humans, pre-tied ligatures are indicated in some surgical techniques such as salpingectomy (LIM et al, 2007), appendectomy (BELDI et al, 2004;YILDIZ et al, 2009) and other gastrointestinal surgeries (KATSARELIAS, 2007).…”

“…Hemostasis is achieved by pushing and tightening the knot around the ovarian pedicle. One of the main advantages of the use of thread ligature is the absence of thermal injury of adjacent tissue, which is usually caused by electrocoagulation (LIM et al, 2007).…”