Comparison of the efficacy of the pulsed bipolar system and conventional electrosurgery in laparoscopic myomectomy – A retrospective matched control study
Objective: Comparing the safety and effectiveness of the pulsed bipolar (PK) system and conventional electrosurgery in laparoscopic myomectomy (LM). Materials and Methods: Retrospective chart review of 194 women with symptomatic uterine fibroids undertaken LM was performed. Cases of LMs with PK cutt...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2011-03-01
|
| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455911000301 |
| _version_ | 1818574112582270976 |
|---|---|
| author | Hsuan Su Chien-Min Han Chin-Jung Wang Chyi-Long Lee Yung-Kuei Soong |
| author_facet | Hsuan Su Chien-Min Han Chin-Jung Wang Chyi-Long Lee Yung-Kuei Soong |
| author_sort | Hsuan Su |
| collection | DOAJ |
| description | Objective: Comparing the safety and effectiveness of the pulsed bipolar (PK) system and conventional electrosurgery in laparoscopic myomectomy (LM).
Materials and Methods: Retrospective chart review of 194 women with symptomatic uterine fibroids undertaken LM was performed. Cases of LMs with PK cutting forceps were compared with a matched control group of standard LMs with conventional electrosurgery. Outcome measures for both groups were studied comparatively in terms of the length of operative time, amount of blood loss, requirement of blood transfusion and length of hospital stay.
Results: The two groups were matched by age, body mass index, parity, previous cesarean delivery, size, number, and weight of fibroids. Amount of blood loss was significantly greater in electrosurgery group than in PK group at 243.8±150.4 mL versus 190.4±178.5 mL (p=0.025). Length of operation, hospitalization time, hemoglobin decrease, and requirement of blood transfusion were not significantly different.
Conclusion: Our findings indicate that PK system is more effective in LM when compared with conventional electrosurgery. PK system has advantage over conventional electrosurgery in less blood loss and may offer an alternative option for patients undergoing LM. |
| first_indexed | 2024-12-15T00:22:07Z |
| format | Article |
| id | doaj.art-9ff045f13bca4a73bbb62eb93b80ba67 |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-12-15T00:22:07Z |
| publishDate | 2011-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-9ff045f13bca4a73bbb62eb93b80ba672022-12-21T22:42:16ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592011-03-01501252810.1016/j.tjog.2009.05.002Comparison of the efficacy of the pulsed bipolar system and conventional electrosurgery in laparoscopic myomectomy – A retrospective matched control studyHsuan Su0Chien-Min Han1Chin-Jung Wang2Chyi-Long Lee3Yung-Kuei Soong4Department of Obstetrics and Gynecology, Division of Gynecologic Endoscopy, Chang Gung Memorial Hospital, Linkou Medical Center, Kwei-Shan, Tao-Yuan, TaiwanDepartment of Obstetrics and Gynecology, Division of Gynecologic Endoscopy, Chang Gung Memorial Hospital, Linkou Medical Center, Kwei-Shan, Tao-Yuan, TaiwanDepartment of Obstetrics and Gynecology, Division of Gynecologic Endoscopy, Chang Gung Memorial Hospital, Linkou Medical Center, Kwei-Shan, Tao-Yuan, TaiwanDepartment of Obstetrics and Gynecology, Division of Gynecologic Endoscopy, Chang Gung Memorial Hospital, Linkou Medical Center, Kwei-Shan, Tao-Yuan, TaiwanDepartment of Obstetrics and Gynecology, Division of Gynecologic Endoscopy, Chang Gung Memorial Hospital, Linkou Medical Center, Kwei-Shan, Tao-Yuan, TaiwanObjective: Comparing the safety and effectiveness of the pulsed bipolar (PK) system and conventional electrosurgery in laparoscopic myomectomy (LM). Materials and Methods: Retrospective chart review of 194 women with symptomatic uterine fibroids undertaken LM was performed. Cases of LMs with PK cutting forceps were compared with a matched control group of standard LMs with conventional electrosurgery. Outcome measures for both groups were studied comparatively in terms of the length of operative time, amount of blood loss, requirement of blood transfusion and length of hospital stay. Results: The two groups were matched by age, body mass index, parity, previous cesarean delivery, size, number, and weight of fibroids. Amount of blood loss was significantly greater in electrosurgery group than in PK group at 243.8±150.4 mL versus 190.4±178.5 mL (p=0.025). Length of operation, hospitalization time, hemoglobin decrease, and requirement of blood transfusion were not significantly different. Conclusion: Our findings indicate that PK system is more effective in LM when compared with conventional electrosurgery. PK system has advantage over conventional electrosurgery in less blood loss and may offer an alternative option for patients undergoing LM.http://www.sciencedirect.com/science/article/pii/S1028455911000301ElectrosurgeryFibroidLaparoscopyMyoectomyPulsed bipolar system |
| spellingShingle | Hsuan Su Chien-Min Han Chin-Jung Wang Chyi-Long Lee Yung-Kuei Soong Comparison of the efficacy of the pulsed bipolar system and conventional electrosurgery in laparoscopic myomectomy – A retrospective matched control study Taiwanese Journal of Obstetrics & Gynecology Electrosurgery Fibroid Laparoscopy Myoectomy Pulsed bipolar system |
| title | Comparison of the efficacy of the pulsed bipolar system and conventional electrosurgery in laparoscopic myomectomy – A retrospective matched control study |
| title_full | Comparison of the efficacy of the pulsed bipolar system and conventional electrosurgery in laparoscopic myomectomy – A retrospective matched control study |
| title_fullStr | Comparison of the efficacy of the pulsed bipolar system and conventional electrosurgery in laparoscopic myomectomy – A retrospective matched control study |
| title_full_unstemmed | Comparison of the efficacy of the pulsed bipolar system and conventional electrosurgery in laparoscopic myomectomy – A retrospective matched control study |
| title_short | Comparison of the efficacy of the pulsed bipolar system and conventional electrosurgery in laparoscopic myomectomy – A retrospective matched control study |
| title_sort | comparison of the efficacy of the pulsed bipolar system and conventional electrosurgery in laparoscopic myomectomy a retrospective matched control study |
| topic | Electrosurgery Fibroid Laparoscopy Myoectomy Pulsed bipolar system |
| url | http://www.sciencedirect.com/science/article/pii/S1028455911000301 |
| work_keys_str_mv | AT hsuansu comparisonoftheefficacyofthepulsedbipolarsystemandconventionalelectrosurgeryinlaparoscopicmyomectomyaretrospectivematchedcontrolstudy AT chienminhan comparisonoftheefficacyofthepulsedbipolarsystemandconventionalelectrosurgeryinlaparoscopicmyomectomyaretrospectivematchedcontrolstudy AT chinjungwang comparisonoftheefficacyofthepulsedbipolarsystemandconventionalelectrosurgeryinlaparoscopicmyomectomyaretrospectivematchedcontrolstudy AT chyilonglee comparisonoftheefficacyofthepulsedbipolarsystemandconventionalelectrosurgeryinlaparoscopicmyomectomyaretrospectivematchedcontrolstudy AT yungkueisoong comparisonoftheefficacyofthepulsedbipolarsystemandconventionalelectrosurgeryinlaparoscopicmyomectomyaretrospectivematchedcontrolstudy |