Batra Sanskriti, Bhardwaj Punita, Dagar Mamta
Department of Obstetrics and Gynaecology, Sir Ganga Ram Hospital, New Delhi, India.
Gynecol Minim Invasive Ther. 2022 May 4;11(2):105-109. doi: 10.4103/GMIT.GMIT_69_20. eCollection 2022 Apr-Jun.
Quick and effective hemostasis is essential for a successful laparoscopic surgery. Hence, it is of utmost importance for laparoscopic surgeons to understand the various available and emerging energy sources to tailor their use according to their properties and surgical requirement. The aim of this study was to compare LigaSure, an advanced bipolar versus conventional bipolar in total laparoscopic hysterectomy, with respect to operating time, mean blood loss, mean reduction in hemoglobin, intraoperative, and postoperative complications, and duration of prospective hospital stay.
It was a randomized controlled study. One hundred and twenty patients scheduled for elective hysterectomy for any benign indication were randomly allocated to two groups namely, conventional bipolar group and LigaSure group. Patients with a history of ≥3 laparotomies, uterine size >20 weeks were excluded. Total laparoscopic hysterectomy with bilateral salpingectomy/salpingo oophorectomy was done in all the patients and endpoints were evaluated.
All the recruited participants ( = 120) achieved study endpoints. There was statistically significant difference in the meantime to dissect adnexal ligaments, primary and total operating time (for adnexal ligaments: Conventional bipolar-9.44 min vs. LigaSure-7.05 min; = 0.000) (Primary: Conventional bipolar-97.03 min vs. LigaSure 74.39 min; = 0.000) (Total: 142.5 min vs. 136.37 min = 0.002). Mean blood loss (145 ml vs. 141.67 ml; = 0.846), mean reduction in hemoglobin (0.802 versus 0.752; = 0.484) and duration of postoperative stay (2.54 days vs. 2.32 days; = 0.128) were comparable ( > 0.05). None of the participants suffered from any major complication during the surgery or in the postoperative recovery period.
With an ability to effectively reduce operating time, LigaSure is a safe and efficient instrument for laparoscopic hysterectomy.
快速有效的止血对于成功的腹腔镜手术至关重要。因此，对于腹腔镜外科医生来说，了解各种现有的和新兴的能量源，根据其特性和手术需求进行合理使用至关重要。本研究的目的是比较在全腹腔镜子宫切除术中，先进的双极电凝设备LigaSure与传统双极电凝设备在手术时间、平均失血量、血红蛋白平均降低量、术中及术后并发症以及预期住院时间方面的差异。
这是一项随机对照研究。120例因任何良性指征计划行择期子宫切除术的患者被随机分为两组，即传统双极电凝组和LigaSure组。排除有≥3次剖腹手术史、子宫大小 >20周的患者。所有患者均行全腹腔镜子宫切除术及双侧输卵管切除术/输卵管卵巢切除术，并对研究终点进行评估。
所有纳入的参与者（n = 120）均达到研究终点。在解剖附件韧带的时间、初次手术时间和总手术时间方面存在统计学显著差异（附件韧带：传统双极电凝组 - 9.44分钟 vs. LigaSure组 - 7.05分钟；P = 0.000）（初次手术：传统双极电凝组 - 97.03分钟 vs. LigaSure组74.39分钟；P = 0.000）（总手术时间：142.5分钟 vs. 136.37分钟，P = 0.002）。平均失血量（145毫升 vs. 141.67毫升；P = 0.846）、血红蛋白平均降低量（0.802对0.752；P = 0.484）和术后住院时间（2.54天 vs. 2.32天；P = 0.128）具有可比性（P > 0.05）。在手术期间或术后恢复期，没有参与者出现任何重大并发症。
LigaSure能够有效缩短手术时间，是一种用于腹腔镜子宫切除术的安全、高效器械。
