Horton Toni S, Coombs Paulette E, Ha Yooree, Wang Zhen, Brigham Tara J, Ofori-Dankwa Zenobia E, Cardenas-Trowers Olivia O
Department of Medical and Surgical Gynecology, Mayo Clinic College of Medicine & Science, Jacksonville, FL. (Drs. Horton, Coombs, and Cardenas-Trowers).
Mayo Clinic College of Medicine & Science, Jacksonville, FL. (Ms. Ha).
JSLS. 2024 Jul-Sep;28(3). doi: 10.4293/JSLS.2024.00022. Epub 2025 Jan 2.
Hysterectomy is one of the most common surgical procedures performed in the United States and most are now being performed in a minimally invasive approach. Electrosurgery and vessel sealing devices are needed in order to provide hemostasis and vascular coaptation; however, there is no guiding evidence and limited recommendations for the use of the currently available devices for laparoscopic hysterectomy. The purpose of this study is to provide a systematic review of electrosurgical devices used in benign hysterectomy and perform a meta-analysis to find the overall effect of various outcomes.
A systematic review was performed by searching the literature using MEDLINE, Embase, Cochrane Central Register of Controlled Trials, and the Cochrane Database of Systematic Review, Science Citation Index Expanded, Emerging Sources Citation Index, Scopus, Epistemonikos, and SciELO databases from each database's inception date until May 2023.
Advanced bipolar vessel sealing devices demonstrate reduced blood loss and operative times when compared to conventional electrosurgery, however more high-quality evidence and cost analysis is needed to strengthen the clinical significance of these findings.
子宫切除术是美国最常见的外科手术之一，目前大多数手术采用微创方法进行。为了实现止血和血管吻合，需要使用电外科手术和血管封闭设备；然而，对于目前用于腹腔镜子宫切除术的设备的使用，尚无指导性证据且建议有限。本研究的目的是对用于良性子宫切除术的电外科设备进行系统评价，并进行荟萃分析以找出各种结果的总体影响。
通过检索MEDLINE、Embase、Cochrane对照试验中央登记册、Cochrane系统评价数据库、科学引文索引扩展版、新兴来源引文索引、Scopus、Epistemonikos和SciELO数据库，从每个数据库的创建日期至2023年5月进行了系统评价。
与传统电外科手术相比，先进的双极血管封闭设备显示出失血量减少和手术时间缩短，然而，需要更多高质量的证据和成本分析来加强这些发现的临床意义。
