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Erschienen in: Archives of Gynecology and Obstetrics 1/2011

01.07.2011 | General Gynecology

Vaginal hysterectomy with bipolar coagulation forceps (BiClamp) as an alternative to the conventional technique

verfasst von: Dariusz Samulak, Maciej Wilczak, Magdalena Monika Michalska, Beata Pięta

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 1/2011

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Abstract

Purpose

The aim was to identify the advantages and disadvantages of using bipolar coagulation forceps in vaginal hysterectomy and to compare the effects of this method with those of the conventional technique.

Methods

A group of 30 patients was operated on with bipolar coagulation forceps and the next 30 were operated on using the traditional method. The following parameters were observed: duration of procedure, blood loss, complications, postoperative pain, hospitalization time and cost of treatment.

Results

The duration of the surgical procedure and hospitalization time were similar in both groups. Blood loss was lower in the BiClamp group. There were no serious complications in either group. In one case with BiClamp, laparotomy was performed to stop persistent bleeding; the after-effects of the laparotomy were not statistically significant. The patients in the BiClamp group reported less pain, experienced shorter recuperation times and incurred lower treatment costs.

Conclusions

The BiClamp technique is a good alternative to traditional hysterectomy methods as it causes lower blood loss during surgery, causes less post-operative pain and is economically more favorable for the patient and hospital.
Literatur
1.
Zurück zum Zitat Malinowski A, Cieślak J (2007) Anatomical aspects of vaginal hysterectomy. In: Malinowski A (ed) Advanced surgical techniques in gynecology: hysterectomy. Printing house LCL, Łódź, pp 47–59 Malinowski A, Cieślak J (2007) Anatomical aspects of vaginal hysterectomy. In: Malinowski A (ed) Advanced surgical techniques in gynecology: hysterectomy. Printing house LCL, Łódź, pp 47–59
2.
Zurück zum Zitat Zubke W, Becker S, Kraemer B, Wallwiener D (2004) Vaginal hysterectomy: a new approach using bipolar coagulation forceps. Gynecol Surg 1:179–182 Zubke W, Becker S, Kraemer B, Wallwiener D (2004) Vaginal hysterectomy: a new approach using bipolar coagulation forceps. Gynecol Surg 1:179–182
3.
Zurück zum Zitat Liu CY (1992) Laparoscopic hysterectomy. A review of 72 cases. J Reprod Med 37:351–354PubMed Liu CY (1992) Laparoscopic hysterectomy. A review of 72 cases. J Reprod Med 37:351–354PubMed
4.
Zurück zum Zitat Dubuc–Lissoir J (2003) Use of a new energy-based vessel ligation device during laparoscopic gynecologic oncologic surgery. Surg Endosc 17:466–468PubMedCrossRef Dubuc–Lissoir J (2003) Use of a new energy-based vessel ligation device during laparoscopic gynecologic oncologic surgery. Surg Endosc 17:466–468PubMedCrossRef
5.
Zurück zum Zitat Landman J, Kerbl K, Rehman J et al (2003) Evaluation of a vessel sealing system, bipolar electrosurgery, harmonic scalpel, titanium clips, endoscopic gastrointestinal anastomosis vascular stapes and sutures for arterial and venous ligation in a porcine model. J Urol 169:697–700PubMedCrossRef Landman J, Kerbl K, Rehman J et al (2003) Evaluation of a vessel sealing system, bipolar electrosurgery, harmonic scalpel, titanium clips, endoscopic gastrointestinal anastomosis vascular stapes and sutures for arterial and venous ligation in a porcine model. J Urol 169:697–700PubMedCrossRef
6.
Zurück zum Zitat Heniford BT, Matthews BD, Sing RF, Backus C, Pratt B, Greene FL (2001) Initial results with an electrothermal bipolar vessel sealer. Surg Endosc 15:799–801PubMedCrossRef Heniford BT, Matthews BD, Sing RF, Backus C, Pratt B, Greene FL (2001) Initial results with an electrothermal bipolar vessel sealer. Surg Endosc 15:799–801PubMedCrossRef
7.
Zurück zum Zitat Karram MM (2001) Vaginal hysterectomy. In: Baggish MS, Karram MM (eds) Atlas of pelvic anatomy and gynecologic surgery. WB Saunders, Philadelphia Karram MM (2001) Vaginal hysterectomy. In: Baggish MS, Karram MM (eds) Atlas of pelvic anatomy and gynecologic surgery. WB Saunders, Philadelphia
8.
Zurück zum Zitat Thompson JD, Thompson JD, Rock JA (1992) Te Linde’s operative gynecology, 17th edn. Lippincott, Philadelphia Thompson JD, Thompson JD, Rock JA (1992) Te Linde’s operative gynecology, 17th edn. Lippincott, Philadelphia
9.
Zurück zum Zitat Clave H, Niccolai P (2003) Hysterectomy without pain: an innovative technique. J Gynecol Obstet Biol Reprod 32:375–380 Clave H, Niccolai P (2003) Hysterectomy without pain: an innovative technique. J Gynecol Obstet Biol Reprod 32:375–380
10.
Zurück zum Zitat Wojdat R, Volz J (2004) Vaginal hysterectomy using the BiClamp: an experience report. 55th Kongress Dt. Ges. Geb. Gyn., Hamburg Wojdat R, Volz J (2004) Vaginal hysterectomy using the BiClamp: an experience report. 55th Kongress Dt. Ges. Geb. Gyn., Hamburg
Metadaten
Titel
Vaginal hysterectomy with bipolar coagulation forceps (BiClamp) as an alternative to the conventional technique
verfasst von
Dariusz Samulak
Maciej Wilczak
Magdalena Monika Michalska
Beata Pięta
Publikationsdatum
01.07.2011
Verlag
Springer-Verlag
Erschienen in
Archives of Gynecology and Obstetrics / Ausgabe 1/2011
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-010-1617-8

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