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

• Main Authors: Mohamed Mohamed, Samia Eid, Waleed Ayad, Abdelrahman Emam
• Format: Article
• Language: English
• Published: Egyptian knowledge bank 2020-10-01
• Series: International Journal of Medical Arts
• Subjects: hysterectomy; bleeding; ligasure; sutures; complications
• Online Access: https://ijma.journals.ekb.eg/article_101120_a95cefcba61c4db4f9eef02b751f8311.pdf

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.