Electrosurgical bipolar vessel sealing during vaginal hysterectomy.
OBJECTIVE
To compare electrosurgical bipolar vessel sealing (EBVS) with traditional suturing during vaginal hysterectomy.


METHODS
In a randomized controlled trial involving 68 women undergoing vaginal hysterectomy for benign disease, 37 procedures were performed using EBVS and 31 using traditional suturing. The end points were procedure time, blood loss, number of ligatures used, postoperative pain score, and number of days in hospital.


RESULTS
The procedure duration was shorter using EBVS (median duration, 32 vs. 40 min; P=.0003), with fewer ligatures (1 vs. 7; P<.0001) and less pain (median score, 4 vs. 6; P<.0001). There were no significant differences regarding blood loss (median, 100 vs. 160 mL; P=.36) and days in hospital (median, 2 vs. 2; P=.03).


CONCLUSIONS
The EBVS system provided advantages over traditional suturing with regard to procedure time, number of ligatures used, and postoperative pain score.
Cronjé
H S
HS
Department of Obstetrics and Gynecology, University of the Free State, Bloemfontein, South Africa. gnoghsc.md@mail.uovs.ac.za
de Coning
E C
EC
D000328:Adult; D000368:Aged; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D004564:Electrocoagulation / Q000295:instrumentation*; D005260:Female; D006488:Hemostasis, Surgical / Q000295:instrumentation*; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000379:methods*; D007902:Length of Stay; D008026:Ligation / Q000379:methods; D008875:Middle Aged; D010149:Postoperative Pain; D013537:Sutures; D016896:Treatment Outcome