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101120

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

Article

Last updated: 04 Jan 2025

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Subjects

-

Tags

Gynecology and Obstetrics

Abstract

Background: Hysterectomy is a common gynecological surgical intervention, which could be associated with increased female morbidity and mortality. Bleeding and pain represent two main complications associated with hysterectomy. Hemostatic measures are in a continuous development, and LigaSure could represent one of the most important milestones in this field. 
Aim of the work:To compare LigaSure use versus conventional suturing in total abdominal hysterectomy.
Patients and Methods:Seventy patients who were scheduled for elective hysterectomy were included. They were assigned to equal groups [Ligasure [A] and Conventional suturing [B]]. All were screened preoperatively, prepared and both intra-and post-operative outcome were registered and compared between both groups [mainly blood loss and postoperative pain].
Results: Both groups were comparable as regard to patient age, body mass index, parity, and indications for hysterectomy. Operative time was significantly reduced among vessel sealing when compared to conventional group [54.9±6.7 vs 63.1±6.6 minutes respectively]. In addition, vessels sealing group was associated with significantly low blood loss [142.7±23.1 vs 285.7±28.4 ml], high postoperative hemoglobin [11.3±1.0 vs 11.0±0.9], low hemoglobin reduction, and significant reduction of postoperative pain at evening, first and second postoperative days and low need for analgesia.
Conclusion: Electrosurgical bipolar vessel sealing is an effective alternative to sutures in abdominal hysterectomy. It is associated with significant operative time shortening, low blood loss and low postoperative pain. 

DOI

10.21608/ijma.2020.22113.1079

Keywords

Hysterectomy, Bleeding, Ligasure, Sutures, Complications

Authors

First Name

Mohamed

Last Name

Mohamed

MiddleName

Anwar

Affiliation

Department of Obstetrics and Gynecology, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

mohaanwar348@gmail.com

City

Damietta

Orcid

-

First Name

Samia

Last Name

Eid

MiddleName

Mohamed

Affiliation

Department of Obstetrics and Gynecology, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

samiamohamad11@gmail.com

City

Damietta

Orcid

-

First Name

Waleed

Last Name

Ayad

MiddleName

Ahmed

Affiliation

Department of Obstetrics and Gynecology, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

waled.ayad@domazhermedicine.edu.eg

City

Damietta

Orcid

-

First Name

Abdelrahman

Last Name

Emam

MiddleName

Ali Hassan

Affiliation

Department of Obstetrics and Gynecology, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

abdelrahmanali83@domazhermedicine.edu.eg

City

Damietta

Orcid

-

Volume

2

Article Issue

4

Related Issue

17986

Issue Date

2020-10-01

Receive Date

2020-01-07

Publish Date

2020-10-01

Page Start

698

Page End

704

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 2_Issue 4_Pages 698-704.pdf

PDF . 2.4MB

Link

https://ijma.journals.ekb.eg/article_101120.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=101120

Order

3

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

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

Details

Type

Article

Created At

22 Jan 2023