الفهرس 
Aim of WorkOnly 14 pages are availabe for public view
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Abstract
The current study aimed to assess the safety and efficacy of using the electrosurgical bipolar vessel sealing system (Ligasure) for securing the pedicles during vaginal hysterectomy in comparison with the conventional method of securing the pedicles by suture ligation.
The study included 40 patients assigned for vaginal hysterectomy for benign pathology; 28 patients had uterine prolapse and 12 patients had dysfunctional uterine bleeding. Patients’ mean age was 51.2±3.2; range: 39-55 years
Patients were randomly allocated into two study groups: Group 1 included 20 patients had VH using sutures as a hemostasis technique and Group 2 had VH using ligasure as a hemostasis technique. There was non-significant difference between both groups as regards constitutional data, indication for surgery, and weight of excised uteri. Twenty-eight patients had regional neuroaxial anesthesia and 12 patients received general inhalational endotracheal anesthesia.
Outcome of the study was defined as determination of total and differential procedure time, efficacy of hemostasis manifested as extent of blood loss and its impact on hemoglobin concentration and hematocrit value. Postoperative hospital stay and frequency of complications were also reported.
All patients passed smooth perioperative course without development of additional morbidities or mortality.
The use of electrosurgical bipolar vessel sealing resulted in shorter procedure times manifested as significant shortening of the mean pedicle dissection time.
The use of electrosurgical bipolar vessel sealing also improved intraoperative circumstances manifested as significant reduction of amount of blood loss and concomitantly improved surgical field, significantly lower deficit of hemoglobin concentration and hematocrit value.
Moreover, the use electrosurgical bipolar vessel sealing minimized tissue trauma and spares foreign body reaction to suture materials which in hand with decreased blood loss minimized the postoperative catabolic stage which was reflected as significantly better postoperative course and significantly shorter hospital stay.