Department of Obstetrics and Gynecology, Regional Hospital in Kalisz, Kalisz, Poland.
Arch Gynecol Obstet. 2011 Jul;284(1):145-9. doi: 10.1007/s00404-010-1617-8. Epub 2010 Aug 4.
The aim was to identify the advantages and disadvantages of using bipolar coagulation forceps in vaginal hysterectomy and to compare the effects of this method with those of the conventional technique.
A group of 30 patients was operated on with bipolar coagulation forceps and the next 30 were operated on using the traditional method. The following parameters were observed: duration of procedure, blood loss, complications, postoperative pain, hospitalization time and cost of treatment.
The duration of the surgical procedure and hospitalization time were similar in both groups. Blood loss was lower in the BiClamp group. There were no serious complications in either group. In one case with BiClamp, laparotomy was performed to stop persistent bleeding; the after-effects of the laparotomy were not statistically significant. The patients in the BiClamp group reported less pain, experienced shorter recuperation times and incurred lower treatment costs.
The BiClamp technique is a good alternative to traditional hysterectomy methods as it causes lower blood loss during surgery, causes less post-operative pain and is economically more favorable for the patient and hospital.
旨在确定在阴道子宫切除术中使用双极电凝镊的优缺点，并将该方法的效果与传统方法进行比较。
一组 30 例患者使用双极电凝镊进行手术，下一组 30 例患者使用传统方法进行手术。观察以下参数：手术时间、失血量、并发症、术后疼痛、住院时间和治疗费用。
两组手术时间和住院时间相似。双极电凝镊组失血量较低。两组均无严重并发症。在一例使用双极电凝镊的病例中，进行了剖腹手术以停止持续出血；剖腹手术的后遗症无统计学意义。双极电凝镊组患者疼痛较轻，恢复时间较短，治疗费用较低。
与传统的子宫切除术方法相比，双极电凝镊技术是一种较好的替代方法，因为它在手术过程中引起的失血量较少，术后疼痛较轻，对患者和医院更具经济优势。
