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10139

Electrosurgical Unipolar Vessel Sealing Versus Purohit Technique in Vaginal Hysterectomy (A Pilot Randomized Clinical Trial)

Article

Last updated: 03 Jan 2025

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Abstract

Background: Vaginal hysterectomy should be performed in preference to abdominal hysterectomy, where possible as it has benefits; quicker return to normal activities, fewer complications, shorter operative time, less blood loss, and a shorter stay in hospital. Also, it is preferred to laparoscopic-assisted vaginal hysterectomy because of fewer bladder or ureteric damage as well as a shorter operating time and learning curve. Aim of the Work: To compare the between using unipolar electrocautery versus Purohit technique in vaginal hysterectomy as regards operative time. Patients and Methods: This pilot prospective randomized clinical trial was conducted at Ain Shams University Maternity and Women's Hospital during the period from June 2016 to February 2018. This study included patients presenting to the outpatient gynecologic clinic of Ain Shams University Maternity and Women's Hospital and planned to have vaginal hysterectomy for benign cause. Results: both total operative time and pedicle securing time were significantly longer in the Purohit technique group compared to the unipolar electrocautery group (P <0.001). Conclusion: using unipolar electrocautery significantly reduces total operative time than using bipolar electrocautery without increasing rate of complications nor does it cause specific type of complications provided that special precautions are taken to avoid thermal effect on nearby structures. Recommendations: using unipolar electrocautery is recommended by well trained hands in suitable patient and should be offered for training by other surgeons of different levels to judge learning curve. Further studies with inclusion of patients having larger sizes of uteri using the same technique. Further settings with higher cautery up to 50W were found to be safe for further analysis.

DOI

10.21608/ejhm.2018.10139

Keywords

Unipolar electrocautery, Purohit technique, vaginal hysterectomy

Authors

First Name

Alaa M

Last Name

El-din

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology,Faculty of Medicine – Ain Shams University

Email

dralaamatef@gmail.com

City

-

Orcid

-

First Name

Ihab H

Last Name

Abdel Fattah

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology,Faculty of Medicine – Ain Shams University

Email

-

City

-

Orcid

-

First Name

Amr A

Last Name

Nadim

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology,Faculty of Medicine – Ain Shams University

Email

-

City

-

Orcid

-

First Name

Ahmed A

Last Name

Tharwat

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology,Faculty of Medicine – Ain Shams University

Email

-

City

-

Orcid

-

First Name

Amr H

Last Name

Yehia

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology,Faculty of Medicine – Ain Shams University

Email

-

City

-

Orcid

-

Volume

72

Article Issue

7

Related Issue

1986

Issue Date

2018-07-01

Receive Date

2018-08-04

Publish Date

2018-07-01

Page Start

4,808

Page End

4,814

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_10139.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=10139

Order

7

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Electrosurgical Unipolar Vessel Sealing Versus Purohit Technique in Vaginal Hysterectomy (A Pilot Randomized Clinical Trial)

Details

Type

Article

Created At

22 Jan 2023