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

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...

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Autores principales:	Mohamed Mohamed, Samia Eid, Waleed Ayad, Abdelrahman Emam
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2020
Materias:	hysterectomy bleeding ligasure sutures complications Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/4e23604960eb42348c1482d35be74225
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spelling	oai:doaj.org-article:4e23604960eb42348c1482d35be742252021-12-02T13:52:46ZComparative Study of Electrosurgical Bipolar Vessel Sealing Using Ligasure versus Conventional Suturing for Total Abdominal Hysterectomy2636-41742682-378010.21608/ijma.2020.22113.1079https://doaj.org/article/4e23604960eb42348c1482d35be742252020-10-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_101120_a95cefcba61c4db4f9eef02b751f8311.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: 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.Mohamed MohamedSamia EidWaleed AyadAbdelrahman EmamAl-Azhar University, Faculty of Medicine (Damietta)articlehysterectomybleedingligasuresuturescomplicationsMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 4, Pp 698-704 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	hysterectomy bleeding ligasure sutures complications Medicine (General) R5-920
spellingShingle	hysterectomy bleeding ligasure sutures complications Medicine (General) R5-920 Mohamed Mohamed Samia Eid Waleed Ayad Abdelrahman Emam Comparative Study of Electrosurgical Bipolar Vessel Sealing Using Ligasure versus Conventional Suturing for Total Abdominal Hysterectomy
description	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.
format	article
author	Mohamed Mohamed Samia Eid Waleed Ayad Abdelrahman Emam
author_facet	Mohamed Mohamed Samia Eid Waleed Ayad Abdelrahman Emam
author_sort	Mohamed Mohamed
title	Comparative Study of Electrosurgical Bipolar Vessel Sealing Using Ligasure versus Conventional Suturing for Total Abdominal Hysterectomy
title_short	Comparative Study of Electrosurgical Bipolar Vessel Sealing Using Ligasure versus Conventional Suturing for Total Abdominal Hysterectomy
title_full	Comparative Study of Electrosurgical Bipolar Vessel Sealing Using Ligasure versus Conventional Suturing for Total Abdominal Hysterectomy
title_fullStr	Comparative Study of Electrosurgical Bipolar Vessel Sealing Using Ligasure versus Conventional Suturing for Total Abdominal Hysterectomy
title_full_unstemmed	Comparative Study of Electrosurgical Bipolar Vessel Sealing Using Ligasure versus Conventional Suturing for Total Abdominal Hysterectomy
title_sort	comparative study of electrosurgical bipolar vessel sealing using ligasure versus conventional suturing for total abdominal hysterectomy
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2020
url	https://doaj.org/article/4e23604960eb42348c1482d35be74225
work_keys_str_mv	AT mohamedmohamed comparativestudyofelectrosurgicalbipolarvesselsealingusingligasureversusconventionalsuturingfortotalabdominalhysterectomy AT samiaeid comparativestudyofelectrosurgicalbipolarvesselsealingusingligasureversusconventionalsuturingfortotalabdominalhysterectomy AT waleedayad comparativestudyofelectrosurgicalbipolarvesselsealingusingligasureversusconventionalsuturingfortotalabdominalhysterectomy AT abdelrahmanemam comparativestudyofelectrosurgicalbipolarvesselsealingusingligasureversusconventionalsuturingfortotalabdominalhysterectomy
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Comparative Study of Electrosurgical Bipolar Vessel Sealing Using Ligasure versus Conventional Suturing for Total Abdominal Hysterectomy

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