Dr. Shafika Mansuri, Dr. Prerak Modi


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.


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

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Hefni MA, Bhaumik J, El-Toukhy T, Kho P, Wong I, Abdel‐ Razik T et al. Safety and efficacy of using the Electrosurgical bipolar vessel sealing system for securing the pedicles in vaginal hysterectomy: randomised controlled trial. BJOG 2005;112(3):329-333.

Lakeman M, The S, Schellart R, Dietz V, ter Haar J, Thurkow A et al. Electrosurgical bipolar vessel sealing versus conventional clamping and suturing for vaginal hysterectomy: a randomised controlled trial. BJOG. 2012;119:1473-82.

Zubke W, Hornung R, Wässerer S, et al. Bipolar coagulation with the BiClamp forceps versus conventional suture ligation: a multicenter randomized controlled trial in 175 vaginal hysterectomy patients. Arch Gynecol Obstet 2009 Nov; 280(5):753-756.

Levy B, Emery L. Randomized trial of suture versus electrosurgical bipolar vessel sealing in vaginal hysterectomy. Obstet Gynecol 2003 Jul; 102(1):147-151.

Clavé H, Baar H, Niccolai P. Painless vaginal hysterectomy with thermal hemostasis (results of a series of 152 cases). Gynecol Surg. 2005;2:101-5.


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