Less pain after hysterectomy with vessel sealing

September 7, 2012
Less pain after hysterectomy with vessel sealing
An electrosurgical bipolar vessel sealing procedure during vaginal hysterectomy leads to less pain during the evening after surgery and shorter operating time than conventional clamping and suturing, according to research published online Aug. 24 in BJOG: An International Journal of Obstetrics and Gynaecology.

(HealthDay)—An electrosurgical bipolar vessel sealing procedure during vaginal hysterectomy leads to less pain during the evening after surgery and shorter operating time than conventional clamping and suturing, according to research published online Aug. 24 in BJOG: An International Journal of Obstetrics and Gynaecology.

Mariëlle M.E. Lakeman, M.D., of the Academic Medical Centre in Amsterdam, and colleagues conducted a randomized, controlled trial involving 100 women who underwent an electrosurgical bipolar vessel sealing procedure or conventional clamping and suturing procedure during vaginal hysterectomy.

The researchers found that the women in the vessel-sealing group had significantly less pain the evening following surgery, compared with the patients. After the first night, however, pain scores were not significantly different between groups. The vessel sealing procedure was approximately 11 minutes shorter, but neither blood loss nor length of hospital stay was different. Changes in micturition and defecation symptoms were not affected by surgical method. Procedure costs were not significantly different.

"Surgery seems to be faster using vessel sealing," the authors write. "However, the shorter operation duration does not completely compensate for the costs of the Ligasure clamp. Patients may benefit from the use of a vessel-sealing technique because the postoperative pain during the first night after surgery is less."

Several authors disclosed to pharmaceutical and biomedical companies, including Covidien, which funded the study.

Explore further: Analysis of studies evaluates tonsillectomy techniques

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Analysis of studies evaluates tonsillectomy techniques

June 20, 2011
A review of tonsillectomy-technique studies found that some new methods have advantages over traditional methods, but others are equivalent, according to a report in the June issue of Archives of Otolaryngology–Head ...

Study tests unilateral versus bilateral lumbar fusion

April 9, 2012
(HealthDay) -- For patients with degenerative lumbar diseases, the unilateral pedicle screw (PS) instrumented transforaminal lumbar interbody fusion (TLIF) procedure results in shorter operative time, less blood loss, and ...

Predictors of length of hospital stay after spine surgery ID'd

May 17, 2012
(HealthDay) -- A variety of pre-, intra-, and postoperative factors contribute to increased length of stay (LOS) for patients who undergo level 1 minimally invasive (MIS) transforaminal interbody fusions (TLIF) spine surgery, ...

SLU neurosurgeon pushes brain bypass to new heights

April 15, 2011
On the cover of a recent edition of the journal Neurosurgery, the highest circulation medical journal in the field, readers saw an artist's intricate depiction of the high-flow brain bypass technique developed by SLU professor ...

Gritti-Stokes amputations beneficial for trauma patients

April 24, 2012
(HealthDay) -- The Gritti-Stokes amputation procedure is beneficial and appears to be safe for patients in a trauma setting, according to a study published in the April 4 issue of The Journal of Bone & Joint Surgery.

Recommended for you

Negative birth outcomes linked to air pollution exposure early in pregnancy, study finds

July 27, 2017
Exposure to air pollution early in a pregnancy could increase risk for preterm birth and low birth weight, according to a study led by researchers at NYU School of Medicine, and published on July 27 in Environmental Health ...

Study shows a significant ongoing decline in sperm counts of Western men

July 25, 2017
In the first systematic review and meta-analysis of trends in sperm count, researchers from the Hebrew University-Hadassah Braun School of Public Health and Community Medicine and the Icahn School of Medicine at Mount Sinai ...

Women exposed to smoke while in womb more likely to miscarry

July 13, 2017
Women exposed to cigarette smoke while in their mothers' wombs are more likely to experience miscarriage as adults, according to new research from the University of Aberdeen.

Lack of a hormone in pregnant mice linked to preeclampsia

June 30, 2017
(Medical Xpress)—A team of researchers from Singapore, the Netherlands and Turkey has isolated a hormone in pregnant mice that appears to be associated with preeclampsia—a pregnancy-related condition characterized by ...

Aspirin reduces risk of pre-eclampsia in pregnant women

June 28, 2017
Taking a low-dose aspirin before bed can reduce the risk of pre-eclampsia, which can cause premature birth and, in extreme cases, maternal and foetal death.

The biology of uterine fluid: How it informs the fetus of mom's world

June 22, 2017
A developing fetus bathes in a mixture of cellular secretions and proteins unique to its mother's uterus. Before fertilization, the pH of uterine fluid helps create a conducive environment for sperm migration, and afterward, ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.