USING ELECTROSURGERY DURING VAGINAL HYSTERECTOMY
https://doi.org/10.24884/1607-4181-2017-24-3-22-27
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.
About the Authors
A. N. Plekhanov
Federal State Budgetary Educational Institution of Higher Education “Academician I. P. Pavlov First St. Petersburg State Medical University” of the Ministry of Healthcare of the Russion Federation
Russian Federation
Russian Federation
Andrey N. Plekhanov - Gynecologist of of the surgical department in FSBMI SPCH RAS, Professor of the I. P. Pavlov St. PSMU.
6-8 L’va Tolstogo street, Saint-Petersburg, 197022
T. A. Epifanova
Federal State Budgetary Educational Institution of Higher Education “Academician I. P. Pavlov First St. Petersburg State Medical University” of the Ministry of Healthcare of the Russion Federation
Russian Federation
Russian Federation
Tatiana Epifanova - Gynecologist of of the surgical department in FSBMI SPCH RAS, Postgraduate student of the I. P. Pavlov St. PSMU.
6-8 L’va Tolstogo street, Saint-Petersburg, 197022
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Review
For citations:
Plekhanov A.N., Epifanova T.A. USING ELECTROSURGERY DURING VAGINAL HYSTERECTOMY. The Scientific Notes of the Pavlov University. 2017;24(3):22-27. (In Russ.) https://doi.org/10.24884/1607-4181-2017-24-3-22-27
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