Document Detail


Electrosurgical bipolar vessel sealing versus conventional clamping and suturing for total abdominal hysterectomy: a randomized trial.
MedLine Citation:
PMID:  18619923     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY OBJECTIVE: To compare the effects of bipolar vessel sealing versus conventional clamping and suturing in women undergoing total abdominal hysterectomy. DESIGN: A randomized controlled trial was performed. Patients were randomized to vessel sealing or conventional surgery. Postoperative pain was the primary outcome. An intention-to-treat analysis was performed (Canadian Task Force classification I). SETTING: Two Dutch teaching hospitals. PATIENTS: A total of 57 women undergoing abdominal hysterectomy for benign conditions. MEASUREMENTS AND MAIN RESULTS: During the first 3 postoperative days, patients operated on using vessel sealing had statistically significantly lower pain scores. The amount of blood loss, surgery time, complication risk, and duration of hospitalization were similar between both groups. Patients in the vessel-sealing group resumed their normal daily activities on average 8 days earlier as compared with the conventional group. Postoperative pelvic floor function was similar in both groups. CONCLUSION: The use of vessel sealing during abdominal hysterectomy for benign conditions appears to be associated with reduced postoperative pain and faster recovery.
Authors:
Mariëlle Lakeman; Roy F Kruitwagen; M Caroline Vos; Jan-Paul W R Roovers
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Publication Detail:
Type:  Journal Article; Multicenter Study; Randomized Controlled Trial     Date:  2008-07-10
Journal Detail:
Title:  Journal of minimally invasive gynecology     Volume:  15     ISSN:  1553-4650     ISO Abbreviation:  -     Publication Date:    2008 Sep-Oct
Date Detail:
Created Date:  2008-08-25     Completed Date:  2009-01-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101235322     Medline TA:  J Minim Invasive Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  547-53     Citation Subset:  IM    
Affiliation:
Department of Obstetrics, Academic Medical Center, Amsterdam, the Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Adult
Electrosurgery*
Fecal Incontinence / etiology,  prevention & control
Female
Health Surveys
Humans
Hysterectomy / adverse effects,  methods*
Ligaments / innervation,  surgery
Middle Aged
Pain Measurement
Pain, Postoperative / etiology,  prevention & control*
Patient Satisfaction*
Quality of Life
Surgical Instruments* / adverse effects
Suture Techniques*
Urinary Incontinence / etiology,  prevention & control

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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