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

First time mums with an epidural who lie down more likely to have a normal birth

October 18, 2017
Adopting a lying down position rather than being upright in the later stages of labour for first-time mothers who have had a low dose epidural leads to a higher chance of them delivering their baby without any medical intervention, ...

Mice delivered by C-section gain more weight than those delivered naturally

October 11, 2017
Mice born by Caesarian section gained on average 33 percent more weight in the 15 weeks after weaning than mice born vaginally, with females gaining 70 percent more weight.

Study shows epidurals don't slow labor

October 10, 2017
Epidural analgesia - a mix of anesthetics and narcotics delivered by catheter placed close to the nerves of the spine - is the most effective method of labor pain relief. In widespread use since the 1970s, epidurals have ...

Progesterone does not prevent preterm birth or complications, says study

October 3, 2017
An increasingly popular hormonal "treatment" for pregnant women with a history of preterm birth does not work, a major new international study shows.

Study questions practice of placenta eating by new moms

September 29, 2017
(HealthDay)—You may have heard that some new mothers choose to eat their own placenta after childbirth. But there's no indication the trendy practice offers any health benefits, and some evidence it could prove dangerous, ...

Hope for couples suffering IVF miscarriage

September 20, 2017
Women who miscarry during their first full round of IVF are more likely to have a baby after further treatment than women who don't get pregnant at all.

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.