A Comparative Study of Use of Different Electrosurgical Techniques for Opening The Vaginal Cuff In Total Laparoscopic Hysterectomy: Monopolar Cutting, Coagulating And Harmonic Scalpel
نویسندگان
چکیده
and keywords: monopolar cutting current,coagulating current, harmonic scalpel.
منابع مشابه
Comparison of Cervical Detachment Using Monopolar Lap Loop Ligature and Conventional Methods in Laparoscopic Supracervical Hysterectomy
OBJECTIVES Our aim was to evaluate a new electrosurgical instrument (Lap Loop device) that amputates the uterine corpus from the cervix during a laparoscopic supracervical hysterectomy (LSH) and to compare the time required for cervical amputation with traditional methods. METHODS This comparative trial was conducted at the University of Louisville and Norton Healthcare Hospitals, Louisville,...
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Total laparoscopic hysterectomy (TLH) is the complete hysterectomy including transection of the uterine vessels and opening/closure of the vaginal vault performed laparoscopically. This procedure can be performed as an alternative to total abdominal hysterectomy in many cases. We previously found use of the harmonic scalpel to be extremely helpful in performing laparoscopically assisted vaginal...
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OBJECTIVE To investigate the risk of vaginal cuff dehiscence after different routes of hysterectomy and methods of cuff closure. METHODS A multi-institutional analysis of 12,398 patients who underwent hysterectomy for both benign and malignant disease between 1994 and 2008 was performed. We analyzed how different routes of hysterectomy and approaches to cuff suture may influence the risk of d...
متن کاملEffects of Electrosurgery and Vaginal Closure Technique on Postoperative Vaginal Cuff Dehiscence
BACKGROUND AND OBJECTIVES The aim of our study is to evaluate the role of electrosurgery and vaginal closure technique in the development of postoperative vaginal cuff dehiscence. METHODS From prospective surgical databases, we identified 463 patients who underwent total laparoscopic hysterectomy (TLH) for benign disease and 147 patients who underwent laparoscopic-assisted vaginal hysterectom...
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Vaginal cuff dehiscence (VCD) after hysterectomy is an adverse event with potential severe morbidity. Although the data are limited, minimally invasive approaches to hysterectomy, such as total laparoscopic hysterectomy (TLH), may be associated with a higher risk of vaginal cuff dehiscence. The cause for these dehiscences is unknown, and multiple factors may be involved. Internationally, the et...
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