A Comparison of Peri-Operative Outcomes for Total Laparoscopic Hysterectomy Using Conventional Bipolar Electrosurgery and High-Pressure Pulsed Ligasure
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Abstract
Background: Hysterectomy is the second most prevalent operation for women globally. Electrosurgery has advanced rapidly to provide safer, faster, and more precise surgeries.
Purpose: To compare the intraoperative and postoperative outcomes of LigaSure and conventional bipolar energy sources during total laparoscopic hysterectomy.
Methods: This study was randomized controlled study. The study population (n=140) underwent total laparoscopic hysterectomy under general anesthesia and was divided into two equal groups, the conventional bipolar group (n=70) and the LigaSure group (n=70)
Results: The mean age of patients in the conventional bipolar group was (43.08 ± 17.25) and (39.53 ± 16.84) years in the LigaSure group with none statistically significant difference between both groups (p=0.671). There was none statistically significant difference between both groups regarding BMI (p=0.156), uterine size (p=0.371) and previous laparotomy (p=0.2). There were statistically significant differences in the mean primary operating time, the mean total operating time (p=0.001) and the mean time to dissect adenxal ligaments (p=0.022).
Conclusions: LigaSure is an adequate and successful instrument for laparoscopic hysterectomy, capable of significantly reducing the duration of surgery.
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References
1. Batra S, Bhardwaj P, Dagar M. Comparative analysis of peri-operative outcomes following total laparoscopic hysterectomy with conventional bipolar-electrosurgery versus high-pressure pulsed LigaSure use. Gynecol Minim Invasive Ther 2022; 11:105-9
2. Jaiswal A and Huang KG. "Energy devices in gynecological laparoscopy - Archaic to modern era". Gynecol Minim Invasive Ther. 2017; 6(4):147-151. doi: 10.1016/j.gmit.2017.08.002
3. Janssen PF, Brölmann HA, van Kesteren PJ, et al. Perioperative outcomes using LigaSure compared with conventional bipolar instruments in laparoscopic hysterectomy: a randomised controlled trial. BJOG. 2011; 118(13):1568-1575. doi:10.1111/j.1471-0528.2011. 03089.x
4. Kalari P, Nirhale DS, Vajja R, Galam P. Comparison of Conventional Bipolar Electrocautery and Ultrasonic Harmonic Scalpel in Colorectal Cancer Surgeries. Cureus. 2022; 14(3): e23255. doi:10.7759/cureus.23255
5. Lakeman MM, The S, Schellart RP, et al. Electrosurgical bipolar vessel sealing versus conventional clamping and suturing for vaginal hysterectomy: a randomised controlled trial. BJOG. 2012; 119(12):1473-1482. doi:10.1111/j.1471-0528.2012. 03484.x
6. Lee CL, Huang KG, Wang CJ, Lee PS, Hwang LL. Laparoscopic radical hysterectomy using pulsed bipolar system: Comparison with conventional bipolar electrosurgery. Gynecol Oncol 2007; 105:620 4
7. Lee CL, Wu KY, Huang CY, Yen CF. Comparison of LigaSure™ tissue fusion system and a conventional bipolar device in hysterectomy via natural orifice transluminal endoscopic surgery (NOTES): A randomized controlled trial. Taiwan J Obstet Gynecol. 2019; 58(1):128-132. doi: 10.1016/j.tjog.2018.11.024
8. Orhan A, Ozerkan K, Kasapoglu I, Ocakoglu G, Demir BC, Gunaydin T, et al. Laparoscopic hysterectomy trends in challenging cases (1995-2018). J Gynecol Obstet Hum Reprod. 2019; 48:791–8. 10.1016/j.jogoh.2019.06.007
9. Reich H, DeCaprio J, McGlynn F. Laparoscopic hysterectomy. J Gynecol Surg. 1989; 5:213216. 10.1089/gyn.1989.5.213
10. Seehofer D, Mogl M, Boas-Knoop S, et al. Safety and efficacy of new integrated bipolar and ultrasonic scissors compared to conventional laparoscopic 5-mm sealing and cutting instruments. Surg Endosc. 2012; 26(9): 2541–2549
11. Wang CJ, Yuen LT, Yen CF, et al. Comparison of the efficacy of the pulsed bipolar system and conventional bipolar electrosurgery in laparoscopically assisted vaginal hysterectomy. J Laparoendosc Adv Surg Tech A. 2005; 15(4): 361–364.
12. Yalcin Y and Yalcin SE. Perioperative outcomes of bipolar energy instruments in total laparoscopic hysterectomy. Ginekol Pol. 2019; 90(11):640-644. doi:10.5603/GP.2019.011