[Postoperative pain after hysterectomy through vaginal routes using electro surgical bipolar vessel sealing versus conventional suture ligature].
OBJECTIVE
The purpose of the study was to compare the postoperative pain of patients who had a hysterectomy through vaginal route according to the process of binding: wire or electrosurgical bipolar vessel sealing.


METHODS
Retrospective study carried out in the 60 last patients who underwent a hysterectomy by vaginal route for a benign pathology in the gynaecological service of surgery of the CHI Poissy-Saint-Germain-en-Laye until March 2006. Among these patients, 32 had profited from a binding by wire and 28 of the electrosurgical bipolar vessel sealing. The studied criteria were the post-operative pain, total morphine consumption and the durations of the analgesic treatment, the hospitalisation and intervention time.


RESULTS
The postoperative pain in the first 24 hours was twice lower using thermofusion; it was valid in immediate post-operative period and after 24 hours. In addition, total morphine consumption was also significantly lower using thermofusion.


CONCLUSIONS
This pilot study shows that the electrosurgical bipolar vessel sealing allows a reduction in the pain into the immediate postoperative period. Other prospective and randomised studies would allow it and conclude on the duration of hospitalisation, the quality of life from the patients and the cost in terms of public health.
Douay
N
N
Service de gynécologie-obstétrique, CHI de Poissy-Saint-Germain-en-Laye, 10 rue du Champ-Gaillard, 78300 Poissy, France.
Belot
F
F
Bader
G
G
Guyot
B
B
Heitz
D
D
Fauconnier
A
A
D000328:Adult; D000368:Aged; D004598:Electrosurgery; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000379:methods*; D008875:Middle Aged; D010146:Pain / Q000453:epidemiology*; D011183:Postoperative Complications / Q000453:epidemiology*; D013536:Suture Techniques; D014621:Vagina