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Clinical and Experimental Obstetrics & Gynecology  2016, Vol. 43 Issue (6): 880-882    DOI: 10.12891/ceog3185.2016
Original Research Previous articles | Next articles
Using the LigaSure vessel sealing device in the large uterus at laparoscopic hysterectomy
M. Biçer1, *(), Z. Güner1, C. Karas1, A. Güclü2, Mert Göl3
1Izmir University Medical School, Department of Obstetrics & Gynecology, Izmir
2Egepol Hospital, Department of Obstetrics & Gynecology, Izmir
3Near East University, Faculty of Medicine, Obstetrics & Gynecology Department, Lefkosa-TRNC, Mersin (Turkey)
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Abstract  
Objective: To compare intraoperative hemorrhage and other operative parameters between patients with large and small weighted uterus who underwent laparoscopic hysterectomy (LH). Materials and Methods: Forty-six patients intending to have LH were divided into two groups according to uterine weight (group 1 > 300 grams vs. group 2 < 299 grams). Intraoperative blood loss, operating time, perioperative complications, and duration of hospitalization were compared. Results: Intraoperative blood loss was significantly higher in the large uterus group (group 1); 350 (227–454) ml vs. 250 (182–320) ml (p < 0.001). However, it was not significantly different between the groups in the laparoscopy step. Mean operating time was 90 (77–103) minutes and 80 (62 – 98) minutes in groups 1 and 2, respectively (p < 0.001) revealing ten-minute delay in group 1. Similarly, this was also not significantly different in the laparoscopy step. No significant differences were found between two groups; in terms of hemoglobin concentration decrease, major and minor complications, and hospitalization duration. Conclusion: The authors conclude that LigaSure can be safely used for LH in patients with a large uterus.
Key words:  Laparoscopy      Hysterectomy      Large uterine size      LigaSure     
Published:  10 December 2016     
*Corresponding Author(s):  M. BIÇER     E-mail:  merve19742001@gmail.com

Cite this article: 

M. Biçer, Z. Güner, C. Karas, A. Güclü, Mert Göl. Using the LigaSure vessel sealing device in the large uterus at laparoscopic hysterectomy. Clinical and Experimental Obstetrics & Gynecology, 2016, 43(6): 880-882.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog3185.2016     OR     https://ceog.imrpress.com/EN/Y2016/V43/I6/880

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