Laparoscopic Supracervical Hysterectomy Using EnSeal vs Standard Bipolar Coagulation Technique: Randomized Controlled Trial

Rothmund, Ralf; Kraemer, Bernhard; Brucker, Sara; Taran, Florin‐Andrei; Wallwiener, Markus; Zubke, Andrea; Wallwiener, D.; Zubke, W.

doi:10.1016/j.jmig.2013.04.014

Cited by 19 publications

(13 citation statements)

References 13 publications

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“…LigaSure was compared with conventional bipolar device in two studies, the results of which agreed that LigaSure reduced operative time significantly. Enseal was also compared with conventional bipolar device by Rothmund et al . and operative time was found to be significantly shorter with Enseal.…”

Section: Discussionmentioning

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

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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.

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Section: Discussionmentioning

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

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“…In studies, the length of hospital stays in patients who underwent laparoscopic hysterectomy with conventional bipolar devices was longer than those with advanced bipolar devices. Prolonged hospital stay may be caused by major complications [19,23]. In this study, both groups had a similar length of hospital stay following the operations.…”

Section: Discussionmentioning

confidence: 51%

Perioperative outcomes of bipolar energy instruments in total laparoscopic hysterectomy

Yalçın

2019

Ginekol Pol

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Objectives:To compare conventional and advanced bipolar energy instruments in terms of perioperative outcomes in patients who underwent total laparoscopic hysterectomy (TLH). Material and methods:The data of 101 patients who underwent TLH between June 2017 and December 2018 for benign gynecological disorders were analyzed retrospectively. Conventional bipolar forceps (Robi forceps) were used in 37 patients and advanced bipolar instruments (LigaSure) were used in 64 patients. Data about the characteristics of the patients, operation time, estimated blood loss, length of hospital stay and other perioperative outcomes were compared. Results:The mean ages of the patients in the conventional bipolar and LigaSure groups were 47.6 ± 6.5 and 48.1 ± 7 years, respectively (p > 0.05). There was no statistically significant difference between the two groups with regard to all other patient characteristics; body mass index, parity, previous pelvic operation and indications of hysterectomy (p > 0.05). The mean operation time (41 ± 13.2 vs 37 ± 11.5 min), estimated intraoperative blood loss (70 ± 22 vs 65 ± 21 mL) and absolute change in hemoglobin (-1.23 ± 1.12 vs -1.11 ± 1.14 g/dL) were slightly higher in the conventional bipolar group. However, there was no statistical significance with respect to these differences between the groups (p > 0.05). Conclusions:Our findings indicate that a conventional bipolar system is as safe and effective as LigaSure, and it may be used as an alternative option for patients undergoing TLH in low-income hospitals.

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“…38 In this study, the mean total operative time was less in the EnSeal group (78.18 vs 86.30 minutes, P = 0.03), with less documented blood loss (but blood loss in all cases were <100 mL, and there was no statistically significant difference in change of postoperative hemoglobin levels). In laparoscopic supracervical hysterectomy, EnSeal was compared with standard bipolar coagulation forceps in a prospective randomized trial of 160 women.…”

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confidence: 52%

Energy Sources for Gynecologic Laparoscopic Surgery

Law¹,

Abbott²,

Lyons³

2014

Obstetrical &Amp; Gynecological Survey

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Laparoscopic Supracervical Hysterectomy Using EnSeal vs Standard Bipolar Coagulation Technique: Randomized Controlled Trial

Cited by 19 publications

References 13 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

Perioperative outcomes of bipolar energy instruments in total laparoscopic hysterectomy

Energy Sources for Gynecologic Laparoscopic Surgery

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