Vaginal hysterectomy with bipolar coagulation forceps (BiClamp) as an alternative to the conventional technique

Samulak, Dariusz; Wilczak, Maciej; Michalska, Magdalena; Pięta, Beata

doi:10.1007/s00404-010-1617-8

Cited by 17 publications

(24 citation statements)

References 4 publications

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“…Similar to the current authors' findings, electrosurgery has been reported to be safe in vaginal hysterectomy by many studies, 6,13,[18][19][20][21] when this technique is applied carefully. Accessibility to pedicles was increased by using a right-angle forceps 6 in this procedure.…”

Section: Discussionsupporting

confidence: 79%

Vaginal Hysterectomy by Electrosurgery for Benign Indications Associated with Previous Cesarean Section

Purohit¹,

Sharma²,

Singh³

et al. 2013

Journal of Gynecologic Surgery

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Background: Vaginal hysterectomies have been associated with difficulties in patients who have had cesarean sections prior to such hysterectomies. However, the Purohit technique may obviate the problems and make it easier to perform these operations. Objectives: This research tested an approach designed to facilitate vaginal hysterectomy in patients with previous cesarean sections in the absence of fixed adhesions of uterine corpi to previous anterior abdominal scarring. Design/Method: An observational study was conducted in a private general hospital between February 2010 and June 2012. All candidates for hysterectomy for benign indications who had had previous cesarean sections were examined for the presence of clinical and sonographic signs of fixed adhesions of uterine corpi to anterior abdominal-wall incisions caused by prior cesarean sections. Candidates who had such adhesions were not given vaginal hysterectomies. Results: Sixty-four (64) consecutive candidates were selected for vaginal hysterectomies. Of these patients, 26 (40.62%) had 1 cesarean section, 33 (51.56 %) had 2 cesarean sections, and 5 (7.81%) had 3 cesarean sections. Four (4) patients had had prior pelvic operations. The uteri were smaller than 12 weeks' gestationsize in 62 (96.87%) cases. In 26 (40.62 %) cases, there were no obstruction to accessing the anterior cul-de-sacs and vaginal hysterectomies were performed using the Purohit technique. In 38 (59.37 %) cases, dense uterovesical adhesions obstructed access to the anterior cul-de-sacs and a posterioanterior approach was used to perform vaginal hysterectomy in these patients. Vaginal hysterectomy was completed in all 64 cases. Vaginal salpingo-oophorectomy was performed in 3 (4.68%) cases. The mean operative time was 78. 59 -33.15 (35-190) minutes. The mean weight of specimen uteri was 161.01 -108.87 (50-550) g. No patients needed conversions or blood transfusions. No patients had bladder, ureteric, or thermal injuries. Finally, there were no other major postoperative complications. Conclusions: In the absence of fixed adhesions of the uterine corpus to previous anterior abdominal scarring, vaginal hysterectomy for benign indications associated with previous cesarean section may be accomplished safely. The posterioanterior approach during vaginal hysterectomy may avoid unintended bladder injury in the presence of dense uterovesical adhesions caused by previous cesarean sections. ( J GYNECOL SURG 29:7)

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Section: Discussionsupporting

confidence: 79%

Vaginal Hysterectomy by Electrosurgery for Benign Indications Associated with Previous Cesarean Section

Purohit¹,

Sharma²,

Singh³

et al. 2013

Journal of Gynecologic Surgery

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“…Bogani et al pointed out that the patient BMI is directly proportional to the rate of complications due to hysterectomy. The higher intraoperative complication rates in our study and control groups compared with those reported in previously published studies could be explained by these factors [9,12,[14][15][16][17].…”

Section: Discussionsupporting

confidence: 50%

“…Although there are numerous papers on the technique of sealing vessels using bipolar electrosurgical device during VH also in obese patients, previous studies comparing the two techniques excluded or did not report specifically findings regarding morbidly obese patients. [11,[14][15][16][17]. There is no reliable information regarding the impact of EBVS system on surgical success in morbidly obese patients undergoing vaginal hysterectomy.…”

Section: Discussionmentioning

confidence: 99%

Safety and efficacy of using advanced electrosurgical bipolar vessel sealing during vaginal hysterectomy in morbidly obese patients: a retrospective cohort analysis

et al. 2017

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Objectives: To assess the safety and efficacy of electrosurgical bipolar vessel sealing during vaginal hysterectomy in morbidly obese patients. Material and methods:A total of 105 morbidly obese patients who underwent vaginal hysterectomy due to benign gynecologic pathologies between January 2010 and April 2017 were included in the study. Patients were divided into two groups according to whether conventional suture ligation technique (n = 64) or electrosurgical bipolar vessel sealing (n = 41) were used during vaginal hysterectomy. The surgical procedure was performed with the same technique in both study groups. The primary outcomes were duration of surgery and estimated blood loss. The secondary outcomes were intra-operative complications and post-operative complications. Results:The duration of surgery and estimated blood loss in the vessel sealing group was significantly less than in the conventional suture group (p < 0.05). No significant difference was present between the two groups in the rate of intra-operative and post-operative complications. Conclusions:The primary outcome of our study is that the EBVS system can be used equally and even more effectively in some aspects; and as safe an alternative approach to conventional suture ligation technique during vaginal hysterectomies performed specifically on morbidly obese patients with reduced operation times and blood loss, and without increasing the complication rates.

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“…BiClamp Ò bipolar coagulation forceps has been available for open surgery procedures since 2002 [12]. Vaginal hysterectomy with BiClamp Ò represents an example of mininvasive surgery and could be a valid and cost-benefit alternative in the surgical treatment of benign gynaecologic disease [10,13]. The surgery may be performed by Kenlet's multimodal anaesthesia that consisted with an association of a general and local anaesthesia with paracervical and pudendal anaesthetic block, with a better control of a better control of pain and postoperative outcome [15,16].…”

Section: Introductionmentioning

confidence: 99%

“…Despite the more favourable outcome in transvaginal approach, surgeons have been compensated for many years more for abdominal approach [1][2][3][4]. New technologies have contributed to development of hemostatic methodology using the high frequency electrosurgery and the application in traditional surgery of bipolar currents is carrying possibility not to use threads in traditional surgical times [5][6][7][8][9][10][11][12][13]. BiClamp Ò bipolar coagulation forceps has been available for open surgery procedures since 2002 [12].…”

Section: Introductionmentioning

confidence: 99%

Vaginal hysterectomy and multimodal anaesthesia with bipolar vessel sailing (Biclamp® forceps) versus conventional suture technique: quality results’ analysis

Leo¹,

Riboni²,

Gambaro³

et al. 2011

Arch Gynecol Obstet

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Vaginal hysterectomy with bipolar coagulation forceps (BiClamp) as an alternative to the conventional technique

Abstract: The BiClamp technique is a good alternative to traditional hysterectomy methods as it causes lower blood loss during surgery, causes less post-operative pain and is economically more favorable for the patient and hospital.

Cited by 17 publications

References 4 publications

Vaginal Hysterectomy by Electrosurgery for Benign Indications Associated with Previous Cesarean Section

Vaginal Hysterectomy by Electrosurgery for Benign Indications Associated with Previous Cesarean Section

Safety and efficacy of using advanced electrosurgical bipolar vessel sealing during vaginal hysterectomy in morbidly obese patients: a retrospective cohort analysis

Vaginal hysterectomy and multimodal anaesthesia with bipolar vessel sailing (Biclamp® forceps) versus conventional suture technique: quality results’ analysis

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