USING ELECTROSURGERY DURING VAGINAL HYSTERECTOMY

Abstract

It was found that vaginal hysterectomy has several advantages over the laparotomic, combined and laparoscopic ones: minimum traumatization, favourable cosmetic effect, smooth postoperative and recovery periods, no complications in the late postoperative period, reduced risk of intraoperative complications. The review presents a comparative analysis of the haemostasis methods – bipolar coagulation versus conventional suture ligation in vaginal hysterectomy. The bipolar coagulation with the BiClamp proved superior or similar to conventional suture ligation. Intraoperative blood loss, operating time were less but postoperative pain and complications were the same. Moreover, bipolar coagulation was easier to use and more cost effective. The accumulated experience proves the electrosurgical technique in hysterectomy to be reasonable and efficient, and it requires further research.

Keywords

• vaginal hysterectomy
• electrosurgery
• bipolar coagulation
• biclamp