Comparison of efficacy of bipolar electrosurgical vessel sealing with conventional suturing in securing vascular pedicles during vaginal hysterectomy
Journal Title: International Journal of Medical Science and Public Health - Year 2014, Vol 3, Issue 11
Abstract
Background: During vaginal hysterectomy, pedicles are usually secured by conventional suturing but it may be difficult many a times. Electrosurgical bipolar vessel sealing in vaginal hysterectomy is safe and effective alternative for securing pedicles . Aims & Objective s : Aim of the study is to compare the efficacy of vessel sealing for securing pedicles in vaginal hysterectomy as compared to conventional suturing in terms of operating time, perioperative blood loss, postoperative pain and short - term surgical complications. Materials and Methods: This was a randomized controlled trial study done in our institute during a period of one year. Two groups were formed, one was control group I (total 60 patients) , wherein, conventional suturing was done and other was study group II (total 65 patient) where Ligas ure vessel seal was used for securing pedicles, irrespective of age and parity. Data of patients were collected and statistical analysis was performed usin g SPSS version software. Results: Group II shows significant reduction in operative time compared to control group (p =0.0001). There was significant difference between 2 groups in operative blood loss (p =0.0001) and post - operative pain (p=0.0001). None o f the patients had major surgical complications. Conclusion: The Ligasure vessel sealing system is a safe alternative for securing pedicles in vaginal hysterectomy when compare with conventional suture ligation
Authors and Affiliations
Vinita B Agrawal, Ashish Agrawal, Sangeeta B Agrawal
Keywords
Related Articles
- EP ID EP137952
- DOI 10.5455/ijm sph. 2014. 0 2 0 8 2014 4
- Views 75
- Downloads 0
Prevalence of cardiovascular risk factors among adults in rural area of Mangalore
Background: Cardiovascular disease (CVD) is now become a major public health problem and one of the leading causes of mortality in developing as well as developed countries. Several risk factors for CVDs have been discov...
Study of acute flaccid paralysis cases at tertiary care hospital Belagavi, Karnataka
Background: Acute Flaccid Paralysis (AFP) surveillance is a key strategy for monitoring the progress of polio eradication and is a sensitive instrument for detecting potential poliomyelitis cases and poliovirus infection...
KAP study on the assessment of needlestick injuries and occupational safety among health-care workers
Background: Health-care workers (HCWs) are at substantial risk of acquiring blood-borne infections such as HIV, hepatitis B virus (HBV), hepatitis C virus (HCV) through needlestick injuries (NSIs). Objectives: To...
Knowledge, attitude and practices regarding iodine deficiency disorders
Background: A high level of awareness of iodine deficiency disorders (IDD) is very important for its prevention and control in the community. Objective: To study the knowledge, attitude and practices regarding IDD and th...
A cross-sectional study on the knowledge and practice of travel vaccination and malaria prophylaxis for international travel among resident doctors of Ahmedabad city, Gujarat
Background: Travelers play a significant role in the spread of infectious diseases across international borders, through their travel patterns and behaviors. Travel may be the only risk factor for infectious diseases tha...