Electrosurgical Unipolar Vessel Sealing Versus Purohit Technique in Vaginal Hysterectomy (A Pilot Randomized Clinical Trial)
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 72, Issue 7
Abstract
<strong>Background: </strong>Vaginal hysterectomy should be performed in preference to abdominal hysterectomy, where possible as it has benefits; quicker return to normal activities, fewer complications, shorter operative time, less blood loss, and a shorter stay in hospital. Also, it is preferred to laparoscopic-assisted vaginal hysterectomy because of fewer bladder or ureteric damage as well as a shorter operating time and learning curve. <strong>Aim of the Work:</strong> To compare the between using unipolar electrocautery versus Purohit technique in vaginal hysterectomy as regards operative time. <strong>Patients and Methods:</strong> This pilot prospective randomized clinical trial was conducted at Ain Shams University Maternity and Women’s Hospital during the period from June 2016 to February 2018. This study included patients presenting to the outpatient gynecologic clinic of Ain Shams University Maternity and Women’s Hospital and planned to have vaginal hysterectomy for benign cause. <strong>Results:</strong> both total operative time and pedicle securing time were significantly longer in the Purohit technique group compared to the unipolar electrocautery group (P <0.001). <strong>Conclusion:</strong> using unipolar electrocautery significantly reduces total operative time than using bipolar electrocautery without increasing rate of complications nor does it cause specific type of complications provided that special precautions are taken to avoid thermal effect on nearby structures. <strong>Recommendations:</strong> using unipolar electrocautery is recommended by well trained hands in suitable patient and should be offered for training by other surgeons of different levels to judge learning curve. Further studies with inclusion of patients having larger sizes of uteri using the same technique. Further settings with higher cautery up to 50W were found to be safe for further analysis.
Authors and Affiliations
Eman Helal
Keywords
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- EP ID EP584243
- DOI 10.12816/ejhm.2018.10139
- Views 110
- Downloads 0
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