Bipolar vessel sealing increases operative safety in laparoscopic-assisted vaginal hysterectomy

作者：Nouri Kazem^*; Ott Johannes; Demmel Maurus; Promberger Regina; Huber Johannes C; Mayerhofer Klaus

来源：Archives of Gynecology and Obstetrics, 2011, 283(1): 91-95.

DOI：10.1007/s00404-009-1333-4

• Laparoscopic-assisted vaginal hysterectomy
• Bipolar vessel sealing
• Outcome
• Complications
• LigaSure

To compare laparoscopic-assisted vaginal hysterectomy (LAVH) with and without bipolar vessel sealing (BVS) using the LigaSure (TM) device by meanings of intra- and postoperative course.
In a retrospective case-control study 362 female patients (mean age 54.3 +/- A 9.5 years) were included who underwent LAVH with (n = 252) and without (n = 110) use of BVS. Intra- and postoperative courses and adverse events were evaluated.
A shorter mean operating time was found for LAVH with the use of BVS (65.28 +/- A 16.33 min) when compared with LAVH without the use of BVS (83.73 +/- A 21.53 min, P < 0.005). The mean postoperative stay did not differ significantly between the two groups (P > 0.05); 15 out of 251 (6.0%) patients were found to have adverse events during or after LAVH with the use of BVS in contrast to 16 out of 110 (14.5%) patients during or after LAVH without the use of BVS (P < 0.05). Following the use of BVS significantly less patients reported postoperative pain for more than 7 days after the operation in contrast to the use of sutures (0/251 [0%] vs. 3/110 [2.7%], respectively, P < 0.05).
The use of LigaSure (TM) is effective in decreasing operating time, the overall complication rate and postoperative pain.

• 出版日期2011-1