BIPOLAR VAGINAL HYSTERECTOMY IN THE FUTURE AND PRESENT


Cite item

Full Text

Abstract

Vaginal hysterectomy seems to be the optimal access, but this method does not take a worthy place in operative gynecology. In this study, a prospective comparison of 2 different techniques of vaginal hysterectomy was performed in 125 patients with the use of vicryl ligatures and 215 patients using bipolar coagulation devices (Gyrus and Emed) in different clinics. In the analysis of immediate and remote results, in the group with electrosurgery, blood loss, operation time and pain syndrome at 4 and 48 hours were found to be statistically significantly less. Also, we did not discern any differences in the number of postoperative complications, which allows us to make conclusions regarding the safety and effectiveness of the use of modern bipolar coagulation devices by experienced surgeons.

About the authors

A. I Slobodyanyuk

Zhukovskaya Municipal Clinical Hospital

Zhukovsky, 140180, Russian Federation

Anton A. Ishchenko

I.M. Sechenov First Moscow State Medical University

Email: ra2001_2001@mail.ru
MD, PhD, Head of the Department of Oncogynecology of the University Clinical Hospital No. 4 of the I.M. Sechenov First Moscow State Medical University, Moscow, 119991, Russian Federation Moscow, 119991, Russian Federation

A. I Ishchenko

I.M. Sechenov First Moscow State Medical University

Moscow, 119991, Russian Federation

B. A Slobodyanyuk

Clinical diagnostic center MEDSI

Moscow, 123056, Russian Federation

References

  1. Kovac S.R. Hysterectomy outcomes in patients with similar indications. Obstet. Gynecol. 2000; 95: 787-93.
  2. Wu J.M., Wechter M.E., Geller E.J., Nguyen T.V., Visco A.G. Hysterectomy rates in the United States, 2003. Obstet. Gynecol. 2007; 110: 1091-5.
  3. Aart J.W., Nieboer T.E., Johnson N., Tavender E., Garry R., Mol B.J., Kluivers K.B. Surgical approach to hysterectomy for benign gynaecological diseases. Cochrane Database Syst. Rev. 2015; 8; CD003677; doi: 10.1002/14651858.CD003677.pub5.
  4. Choosing the route of hysterectomy for benign disease. ACOG Committee Opinion No. 444. American College of Obstetricians and Gynecologists. Obstet. Gynecol. 2009; 114: 1156-8.
  5. Отт Д.О. Оперативная гинекология. Санкт-Петербург; 1914.
  6. Fitz-Gerald A.L., Tan J., Chan K.W., Polyakov A., Edwards G.N., Najjar H., Tsaltas J., Vollenhoven B. Comparison of ultrasonic shears and traditional suture ligature for vaginal hysterectomy: randomized controlled trial. J. Minim. Invasive Gynecol. 2013; 20(6): 853-7. doi: 10.1016/j.jmig.2013.05.019.
  7. Chekan E.G., Davison M.A., Singleton D.W., Mennone J.Z., Hinoul P. Consistency and sealing of advanced bipolar tissue sealers. Med. Devices (Auckl). 2015; 8: 193-9. doi: 10.2147/MDER.S79642.
  8. Macario A., Dexter F., Sypal J., Cosgriff N., Heniford В.Т. Operative time and other outcomes of the electrothermal bipolar vessel sealing system (LigaSure) versus other methods for surgical hemostasis: a meta-analysis. Surg. Innov. 2008; 15(4): 284-91.
  9. Breivik H., Borchgrevink P.C., Allen S.M., Rosseland L.A., Romimdstad L., Hals E.K. et al. Assessment of pain. Br. J. Anaesth. 2008; 101 (1): 17-24. doi: 10.1093/bja/aen103.
  10. Zakaria М.А., Levy B.S. Outpatient vaginal hysterectomy: optimizing perioperative management for same-day discharge. Obstet. Gynecol. 2012; 120(6): 1355-61.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2018 Eco-Vector



Согласие на обработку персональных данных

 

Используя сайт https://journals.rcsi.science, я (далее – «Пользователь» или «Субъект персональных данных») даю согласие на обработку персональных данных на этом сайте (текст Согласия) и на обработку персональных данных с помощью сервиса «Яндекс.Метрика» (текст Согласия).