Effective thermal destruction of residual tubal epithelium using an advanced sealing device in opportunistic salpingectomy: A randomized trial
Objective: To examine the effectiveness of proximal tube destruction at the uterine cornu by additional application of a sealing device. Methods: A single-center randomized trial was conducted on 40 patients receiving a laparo-endoscopic single-site hysterectomy with opportunistic salpingectomy. We...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2017-08-01
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| Series: | Gynecology and Minimally Invasive Therapy |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213307017300035 |
| _version_ | 1817998215378632704 |
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| author | Hyun-Jin Choi Hyun-Soo Kim Tae-Joong Kim Sang Yong Song E Sun Paik Eun Jin Heo Jin-Young Park Yoo-Young Lee Chel Hun Choi Jeong-Won Lee Byoung-Gie Kim Duk-Soo Bae |
| author_facet | Hyun-Jin Choi Hyun-Soo Kim Tae-Joong Kim Sang Yong Song E Sun Paik Eun Jin Heo Jin-Young Park Yoo-Young Lee Chel Hun Choi Jeong-Won Lee Byoung-Gie Kim Duk-Soo Bae |
| author_sort | Hyun-Jin Choi |
| collection | DOAJ |
| description | Objective: To examine the effectiveness of proximal tube destruction at the uterine cornu by additional application of a sealing device.
Methods: A single-center randomized trial was conducted on 40 patients receiving a laparo-endoscopic single-site hysterectomy with opportunistic salpingectomy. We randomized patients into two groups at the time of admission to determine the laterality of additional thermal cauterization. Additional thermal cauterization for 10 seconds was applied on the right cornu in one group and on the left cornu in the other group. Three pieces of cornual tissue from each cornu were biopsied. One gynecological pathologist examined the cornual tissue to determine the residual tubal epithelium (TE) and thermal destruction of the specimens.
Results: Of the 40 patients enrolled in this study between September 2012 and July 2014, samples of 26 patients were subjected to tissue analysis. Residual TE was found in the cornu in 73.1% (19/26) and 65.4 % (17/26) of tissues from the side of no additional cauterization (NO) and the side of additional cauterization (AD), respectively (p<0.001). Residual TE was detected in 5.3% (1/19) and 94.1% (16/17) of the specimens from the NO and AD groups, respectively.
Conclusion: We observed that a high incidence of residual TE and efficacious cauterization-induced thermal destruction was achieved following 10 seconds of additional cauterization. These results suggest that additional cauterization of the uterine cornu using the sealing device effectively destroys residual TE after salpingectomy. |
| first_indexed | 2024-04-14T02:49:42Z |
| format | Article |
| id | doaj.art-e2548e25fe8f47a1b26335407b62a243 |
| institution | Directory Open Access Journal |
| issn | 2213-3070 |
| language | English |
| last_indexed | 2024-04-14T02:49:42Z |
| publishDate | 2017-08-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Gynecology and Minimally Invasive Therapy |
| spelling | doaj.art-e2548e25fe8f47a1b26335407b62a2432022-12-22T02:16:20ZengWolters Kluwer Medknow PublicationsGynecology and Minimally Invasive Therapy2213-30702017-08-016310811210.1016/j.gmit.2016.12.005Effective thermal destruction of residual tubal epithelium using an advanced sealing device in opportunistic salpingectomy: A randomized trialHyun-Jin Choi0Hyun-Soo Kim1Tae-Joong Kim2Sang Yong Song3E Sun Paik4Eun Jin Heo5Jin-Young Park6Yoo-Young Lee7Chel Hun Choi8Jeong-Won Lee9Byoung-Gie Kim10Duk-Soo Bae11Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaDepartment of Pathology, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of KoreaDepartment of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaDepartment of Pathology and Translational Genomics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaDepartment of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaDepartment of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaDepartment of Obstetrics and Gynecology, Institute of Wonkwang Medical Science, College of Medicine, Wonkwang University, Iksan, Republic of KoreaDepartment of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaDepartment of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaDepartment of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaDepartment of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaDepartment of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaObjective: To examine the effectiveness of proximal tube destruction at the uterine cornu by additional application of a sealing device. Methods: A single-center randomized trial was conducted on 40 patients receiving a laparo-endoscopic single-site hysterectomy with opportunistic salpingectomy. We randomized patients into two groups at the time of admission to determine the laterality of additional thermal cauterization. Additional thermal cauterization for 10 seconds was applied on the right cornu in one group and on the left cornu in the other group. Three pieces of cornual tissue from each cornu were biopsied. One gynecological pathologist examined the cornual tissue to determine the residual tubal epithelium (TE) and thermal destruction of the specimens. Results: Of the 40 patients enrolled in this study between September 2012 and July 2014, samples of 26 patients were subjected to tissue analysis. Residual TE was found in the cornu in 73.1% (19/26) and 65.4 % (17/26) of tissues from the side of no additional cauterization (NO) and the side of additional cauterization (AD), respectively (p<0.001). Residual TE was detected in 5.3% (1/19) and 94.1% (16/17) of the specimens from the NO and AD groups, respectively. Conclusion: We observed that a high incidence of residual TE and efficacious cauterization-induced thermal destruction was achieved following 10 seconds of additional cauterization. These results suggest that additional cauterization of the uterine cornu using the sealing device effectively destroys residual TE after salpingectomy.http://www.sciencedirect.com/science/article/pii/S2213307017300035bipolar sealing devicecancer preventionfallopian tubeopportunistic salpingectomyovarian cancer |
| spellingShingle | Hyun-Jin Choi Hyun-Soo Kim Tae-Joong Kim Sang Yong Song E Sun Paik Eun Jin Heo Jin-Young Park Yoo-Young Lee Chel Hun Choi Jeong-Won Lee Byoung-Gie Kim Duk-Soo Bae Effective thermal destruction of residual tubal epithelium using an advanced sealing device in opportunistic salpingectomy: A randomized trial Gynecology and Minimally Invasive Therapy bipolar sealing device cancer prevention fallopian tube opportunistic salpingectomy ovarian cancer |
| title | Effective thermal destruction of residual tubal epithelium using an advanced sealing device in opportunistic salpingectomy: A randomized trial |
| title_full | Effective thermal destruction of residual tubal epithelium using an advanced sealing device in opportunistic salpingectomy: A randomized trial |
| title_fullStr | Effective thermal destruction of residual tubal epithelium using an advanced sealing device in opportunistic salpingectomy: A randomized trial |
| title_full_unstemmed | Effective thermal destruction of residual tubal epithelium using an advanced sealing device in opportunistic salpingectomy: A randomized trial |
| title_short | Effective thermal destruction of residual tubal epithelium using an advanced sealing device in opportunistic salpingectomy: A randomized trial |
| title_sort | effective thermal destruction of residual tubal epithelium using an advanced sealing device in opportunistic salpingectomy a randomized trial |
| topic | bipolar sealing device cancer prevention fallopian tube opportunistic salpingectomy ovarian cancer |
| url | http://www.sciencedirect.com/science/article/pii/S2213307017300035 |
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