ELECTROSURGICAL BIPOLAR VESSEL SEALING(EBVS) VS. CONVENTIONAL CLAMPING AND SUTURING FOR VAGINAL HYSTERECTOMY:A RANDOMISED CONTROLLED TRIAL.

Dr. Shafika Mansuri, Dr. Prerak Modi

Abstract


Objective: To compare the efficiency of electrosurgical bipolar vessel-sealing system with conventional sutures ligation method in vaginal hysterectomy.

Methods: A Prospective observational study was conducted over a period of 1 and half year between March 2017 to Aug, 2018 in Dept of OB-GY, Civil Hospital, Ahmedabad. A total of 86 patients were operated for Vaginal Hysterectomy for benign conditions who were randomised for vessel sealing or conventional surgery. The patients were re-evaluated after 1-3 months.

Results: The operating time (min) was significantly shorter in electrosurgical bipolar group than the conventional suture group. Operative blood loss (ml) and the reduction in hemoglobin level (gm/dL) were significantly lower in electrosurgical bipolar group in comparison to the conventional suture group. The hospitalization (days) of electrosurgical bipolar group was also significantly lower than the conventional suture group. No significant difference was found between the two groups in major intra-operative and immediate postoperative complications, whereas, the pain score was significantly higher in the conventional suture group compared with electrosurgical bipolar group.

Conclusion: Electrosurgical bipolar vessel sealing system is a preferred and a safe alternative method when compared with the conventional suture ligation method in vaginal hysterectomy. It has the advantages of shorter operating time, reduced blood loss, less reduction level of hemoglobin, shorter time of hospitalization, and lower pain score.


Keywords


Conventional sutures, Blood loss, Electrosurgical bipolar vessel sealing system, Vaginal hysterectomy.

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References


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