Document Detail

Utility of bipolar electrocautery scissors for cervical conization.
MedLine Citation:
PMID:  12013115     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate the usefulness of bipolar electrocautery scissors for cervical conization. METHODS AND MATERIALS: Forty patients with severe dysplasia/in situ carcinoma of the uterine cervix underwent cervical conization: 20 randomly selected patients were operated on with the unipolar energy scalpel and the other 20 were operated on with bipolar electrocautery scissors. In both groups operating time, number of ligations, blood loss, duration of recovery, perioperative complications and adequacy of the margins of the lesion were assessed. Data were compared by analysis of variance. RESULTS: In the bipolar group the average operating time and duration of recovery were significantly reduced (halved), no ligations were needed and the amount of blood loss was significantly reduced. Regarding perioperative complications, in the bipolar group there were no hemorrhages nor need of a second operation or transfusion. Infections did not occur in either group. We found no difference between the two groups regarding adequacy of the margins of the lesion for a good pathologic examination. CONCLUSION: Bipolar electrocautery scissors were safe and useful in cervical conization by reducing the operating time and blood loss without increasing postoperative morbidity.
P L Cherchi; G Capobianco; G Ambrosini; G M Fadda; M D Piga; A M Canetto; G Rubattu; S Dessole
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  European journal of gynaecological oncology     Volume:  23     ISSN:  0392-2936     ISO Abbreviation:  Eur. J. Gynaecol. Oncol.     Publication Date:  2002  
Date Detail:
Created Date:  2002-05-15     Completed Date:  2003-02-04     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  8100357     Medline TA:  Eur J Gynaecol Oncol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  154-6     Citation Subset:  IM    
Department of Pharmacology, Gynaecology and Obstetrics, University of Sassari, Italy.
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MeSH Terms
Cervix Uteri / surgery*
Conization / instrumentation*
Electrocoagulation / instrumentation*
Uterine Cervical Neoplasms / surgery*

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