Use of a new energy-based vessel ligation device during laparoscopic gynecologic oncologic surgery.
BACKGROUND
Achieving hemostasis may sometimes be challenging, especially in minimal access surgery. The objective of this study was to evaluate the safety and effectiveness of a new ligation device.


METHODS
The LigaSure vessel sealing system, consisting of a bipolar radio frequency generator and a 5-mm laparoscopic Maryland-style grasper-dissector (LigaSure Lap), was used in 15 patients undergoing advanced laparoscopic gynecologic procedures.


RESULTS
Reliable vessel sealing was achieved in all the patients, with minimal sticking, charring, and lateral thermal spread. A decrease in blood loss and operating time was noted.


CONCLUSIONS
This new energy-based vessel ligation device appears to be effective in advanced laparoscopic gynecologic procedures. Larger studies are needed to evaluate the complication rate and the cost effectiveness of this new technology.
Dubuc-Lissoir
J
J
Department of Obstetrics and Gynecology, CHUM - Notre-Dame Hospital, Pavillon Charles-Simard, 2065 Alexandre-de-Sève, 4th Floor, Montreal, Quebec, Canada, H2L 2W5. josee.dubuc-lissoir.chum@ssss.gouv.qc.ca
D005260:Female; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation; D006488:Hemostasis, Surgical / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D010535:Laparoscopy; D008026:Ligation / Q000295:instrumentation; D008197:Lymph Node Excision; D010051:Ovarian Neoplasms / Q000098:blood supply / Q000601:surgery*; D010865:Pilot Projects; D002583:Uterine Cervical Neoplasms / Q000098:blood supply / Q000601:surgery*; D014599:Uterus / Q000098:blood supply*