A prospective randomized comparative study of non descent vaginal hysterectomy with sutures and with bipolar clamp or vessel sealing device (by bipolar energy source)
Journal Title: Medpulse International Journal of Gynaecology - Year 2019, Vol 9, Issue 1
Abstract
Objective: The present study is a prospective randomized comparative study of Non- Decent vaginal hysterectomy with sutures and with bipolar clamp or Vessel Sealing device (by Bipolar Energy Source) to compare its effect on postoperative pain, blood loss, time taken for surgery, intraoperative and postoperative complications and hospital stay. Materials and Methods: 50 patients were selected for each group (total 100) over a period of 40 months. Inclusion criteria was no adnexal mass, no severe endometriosis, uterine size less than 12 weeks and descent should not be more than 1stdegree.The primary outcome measure were operative time, blood loss and postoperative pain while secondary outcome measures were the intraoperative and postoperative complications and hospital stay. Result and conclusion: The most common indication was AUB. Patients in bipolar vessel sealer group had significantly reduced operating time, blood loss; pain status and hospital stay as compared to suture group. To conclude the use of bipolar vessel sealer reduces operative time. It allows safe and effective hemostasis compared with conventional suture ligation. It also reduces the operative blood loss, pain status and hospital stay.
Authors and Affiliations
Ammbalal Gurram, Annjalii Gurram
Keywords
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- EP ID EP470323
- DOI 10.26611/1012912
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