Vol 79, No 12 (2008)
ARTICLES
The use of ThermoStapler® – bipolar vessel sealing system in vaginal hysterectomy
Michał Wojciechowski, Nela Pawłowska, Andrzej Malinowski
Vol 79, No 12 (2008)
ARTICLES
Abstract
Abstract Objectives: The following study has been conducted to evaluate the efficacy of computer-controlled bipolar vessel sealing system (ThermoStapler, EMED), as an alternative to sutures, in order to achieve haemostasis during vaginal hysterectomy. Material and methods: One hundred and twenty patients have undergone vaginal hysterectomy, half of them with the use of ThermoStapler vessel sealing system (n=60) and the other half with standard surgical technique (n=60). Data compared in this retrospective study included the time of surgery, hemoglobin loss after the surgery, postoperative need for pain medication, duration of the hospital stay and intra/post-operative complications. Results: The time of surgery proved to be shorter, although not significantly, in the group of vaginal hysterectomy with sutures when compared to the other group. The intra-operative blood loss, confirmed by pre- and postoperative hemoglobin measurements, appeared to be slightly lower in the ThermoStapler group. However, postoperative need for pain medication was significantly less frequent in the bipolar forceps group (P<0.05). Complications and the duration of the hospital stay were similar in case of both groups. Conclusion: ThermoStapler bipolar vessel sealing system (EMED) proves to be a valuable alternative to traditional technique using surgical sutures, and an effective and safe method of achieving haemostasis during vaginal hysterectomy, resulting in significantly reduced need for pain medication during hospitalization.
Abstract
Abstract Objectives: The following study has been conducted to evaluate the efficacy of computer-controlled bipolar vessel sealing system (ThermoStapler, EMED), as an alternative to sutures, in order to achieve haemostasis during vaginal hysterectomy. Material and methods: One hundred and twenty patients have undergone vaginal hysterectomy, half of them with the use of ThermoStapler vessel sealing system (n=60) and the other half with standard surgical technique (n=60). Data compared in this retrospective study included the time of surgery, hemoglobin loss after the surgery, postoperative need for pain medication, duration of the hospital stay and intra/post-operative complications. Results: The time of surgery proved to be shorter, although not significantly, in the group of vaginal hysterectomy with sutures when compared to the other group. The intra-operative blood loss, confirmed by pre- and postoperative hemoglobin measurements, appeared to be slightly lower in the ThermoStapler group. However, postoperative need for pain medication was significantly less frequent in the bipolar forceps group (P<0.05). Complications and the duration of the hospital stay were similar in case of both groups. Conclusion: ThermoStapler bipolar vessel sealing system (EMED) proves to be a valuable alternative to traditional technique using surgical sutures, and an effective and safe method of achieving haemostasis during vaginal hysterectomy, resulting in significantly reduced need for pain medication during hospitalization.
Keywords
termocoagulation, surgical stapler, vaginal hysterectomy
Title
The use of ThermoStapler® – bipolar vessel sealing system in vaginal hysterectomy
Journal
Ginekologia Polska
Issue
Vol 79, No 12 (2008)
Page views
439
Article views/downloads
578
Bibliographic record
Ginekol Pol 2008;79(12).
Keywords
termocoagulation
surgical stapler
vaginal hysterectomy
Authors
Michał Wojciechowski
Nela Pawłowska
Andrzej Malinowski