title: Efficacy of electrosurgical bipolar vessel sealing for abdominal hysterectomy with uterine myomas more than 14 weeks in size: a randomized controlled trial.
abstract: OBJECTIVE
  To compare electrosurgical bipolar vessel sealing with conventional suturing during abdominal hysterectomy.
  
  
  METHODS
  This was a randomized controlled prospective study. A total of 88 patients with myoma uteri larger than 14 weeks in size were divided into two groups: group A (44 patients who were administered the LigaSure vessel sealing system during surgery) and group B (44 patients who were administered conventional sutures during surgery). Total abdominal hysterectomy was performed in all patients. Hemoglobin reduction, operation time, hospital stay and visual analogue scale parameters of patients in both groups were compared. SPSS 16.0 was utilized in statistical analyses. The outcomes with a 95% confidence interval and a p value of less than 0.05 were regarded as significant.
  
  
  RESULTS
  When the two groups were compared, it was observed that the LigaSure device significantly reduced the operation time (p < 0.05). Nevertheless, no statistically significant difference was determined in hemoglobin reduction, hospital stay and visual analogue scale parameters between the two groups.
  
  
  CONCLUSIONS
  In myoma uteri cases larger than 14 weeks in size, LigaSure vessel sealing is a secure and comfortable method for surgeons to achieve shorter operation times in abdominal hysterectomy.
authors.affiliation: Department of Gynecology and Obstetrics, Ataturk Training and Research Hospital, İzmir, Turkey. cetinaydin2005@mynet.com
authors.forename: Cetin
authors.initials: C
authors.lastname: Aydin
authors.forename: Askin
authors.initials: A
authors.lastname: Yildiz
authors.forename: Burcu
authors.initials: B
authors.lastname: Kasap
authors.forename: Hakan
authors.initials: H
authors.lastname: Yetimalar
authors.forename: Ismail
authors.initials: I
authors.lastname: Kucuk
authors.forename: Ferit
authors.initials: F
authors.lastname: Soylu
mesh_terms: D000328:Adult; D000368:Aged; D004564:Electrocoagulation / Q000379:methods*; D005260:Female; D006488:Hemostasis, Surgical / Q000379:methods; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D007889:Leiomyoma / Q000473:pathology* / Q000601:surgery*; D008875:Middle Aged; D013536:Suture Techniques; D013997:Time Factors; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000473:pathology* / Q000601:surgery*; D014599:Uterus / Q000098:blood supply