Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.
VAGINAL HYSTERECTOMY USING ELECTROFUSION:  A STUDY OF 96 CASES Jean DUBUISSON   Daniel RAUDRANT François GOLFIER Mona MASS...
OBJECTIVE <ul><li>To compare ligature by electrofusion vs. sutures in the practice of vaginal hysterectomy </li></ul>
METHOD <ul><li>Retrospective study  on 96 patients completed over a  </li></ul><ul><li>period of 47 months   (from april 2...
RESULTS <ul><li>54  procedures in the  suture-free group </li></ul><ul><ul><ul><ul><ul><li>24 with LigaSure TM </li></ul><...
RESULTATS NS 167,5  ± 84,5 194,2  ± 116,5 weight of the postoperative specimen  (grams) NS 0,12  ± 0,40 0,07  ± 0,43 Previ...
TYPE OF SURGERY RESULTS NS p 27 (43,5%) 35 (56,5%) Vaginal hysterectomies without salpingo-oophorectomy 15 (44,1%) 19 (55,...
MAIN INDICATIONS RESULTS NS p 3 (30,0%) 7 (70,0%) OTHERS 4 (28,6%) 10 (71,4%) Carcinologic pathology, cervical dysplasia  ...
RESULTS Post-operative pain evaluation <0,001 1,60  ± 0,96 0,94  ± 0,79 Associated analgesics   <0,05 45,4  ± 51,3 22,4  ±...
RESULTS Comparison of operating time and hospitalization post-op   <0,001 5,0 ± 1,0 4,2 ± 1,3 HOSPITALIZATION POST-OP (day...
<ul><li>ELECTROFUSION </li></ul><ul><li>1  vaginal hemorrhage not requiring surgical intervention </li></ul><ul><li>1  bla...
CONCLUSION <ul><li>ELECTROFUSION   reduces significantly the  operating time ,  postoperative pain  and the  duration of h...
 
Upcoming SlideShare
Loading in …5
×

Vaginal hysterectomy using electrofusion: a study of 96 cases

1,044 views

Published on

Published in: Health & Medicine
  • Be the first to comment

  • Be the first to like this

Vaginal hysterectomy using electrofusion: a study of 96 cases

  1. 1. VAGINAL HYSTERECTOMY USING ELECTROFUSION: A STUDY OF 96 CASES Jean DUBUISSON Daniel RAUDRANT François GOLFIER Mona MASSOUD Hôtel Dieu – Lyon, France Centre Hospitalier Lyon-Sud, France
  2. 2. OBJECTIVE <ul><li>To compare ligature by electrofusion vs. sutures in the practice of vaginal hysterectomy </li></ul>
  3. 3. METHOD <ul><li>Retrospective study on 96 patients completed over a </li></ul><ul><li>period of 47 months (from april 2002 to februar 2006) </li></ul><ul><li>Inclusion : </li></ul><ul><ul><ul><li>Simple vaginal hysterectomy without concomitant </li></ul></ul></ul><ul><ul><ul><li>procedure and with the same technique </li></ul></ul></ul><ul><ul><ul><li>Under general anaesthesia </li></ul></ul></ul><ul><ul><ul><li>With or without salpingo-oophorectomy </li></ul></ul></ul><ul><ul><ul><li>ELECTROFUSION or SUTURE </li></ul></ul></ul>
  4. 4. RESULTS <ul><li>54 procedures in the suture-free group </li></ul><ul><ul><ul><ul><ul><li>24 with LigaSure TM </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>30 with BiClamp TM </li></ul></ul></ul></ul></ul><ul><li>42 procedures in the suture control group </li></ul>
  5. 5. RESULTATS NS 167,5 ± 84,5 194,2 ± 116,5 weight of the postoperative specimen (grams) NS 0,12 ± 0,40 0,07 ± 0,43 Previous caesarean section NS 2,0 ± 1,2 2,0 ± 1,2 PARITY NS 48,4 ± 7,4 50,0 ± 9,4 AGE (years) p SUTURE (control group) N = 42 ELECTROFUSION N = 54
  6. 6. TYPE OF SURGERY RESULTS NS p 27 (43,5%) 35 (56,5%) Vaginal hysterectomies without salpingo-oophorectomy 15 (44,1%) 19 (55,9%) Vaginal hysterectomies with salpingo-oophorectomy SUTURE N = 42 ELECTROFUSION N = 54
  7. 7. MAIN INDICATIONS RESULTS NS p 3 (30,0%) 7 (70,0%) OTHERS 4 (28,6%) 10 (71,4%) Carcinologic pathology, cervical dysplasia 9 (52,9%) 8 (47,1%) ADENOMYOSIS 26 (47,3%) 29 (52,7%) FIBROID SUTURE N = 42 (%) ELECTROFUSION N = 54 (%)
  8. 8. RESULTS Post-operative pain evaluation <0,001 1,60 ± 0,96 0,94 ± 0,79 Associated analgesics <0,05 45,4 ± 51,3 22,4 ± 31,0 Cumulative doses (mg) <0,05 29,4 ± 18,8 22,4 ± 13,4 Timing of morphine administration (hours) <0,001 3,5 ± 2,3 1,9 ± 2,0 VAS MAX / 24h p SUTURE N = 42 ELECTROFUSION N = 54
  9. 9. RESULTS Comparison of operating time and hospitalization post-op <0,001 5,0 ± 1,0 4,2 ± 1,3 HOSPITALIZATION POST-OP (days) <0,001 67,6 ± 20,1 51,3 ± 22,6 OPERATING TIME (min) p SUTURE N = 42 ELECTROFUSION N = 54
  10. 10. <ul><li>ELECTROFUSION </li></ul><ul><li>1 vaginal hemorrhage not requiring surgical intervention </li></ul><ul><li>1 bladder injury </li></ul><ul><li>1 conversion to laparotomy (deep infiltrating endometriosis) </li></ul><ul><li>SUTURE </li></ul><ul><li>1 vaginal hemorrhage requiring surgical intervention </li></ul><ul><li>1 bladder injury </li></ul><ul><li>1 haematoma of the vault </li></ul>RESULTS Complications
  11. 11. CONCLUSION <ul><li>ELECTROFUSION reduces significantly the operating time , postoperative pain and the duration of hospitalization without increasing the rate of perioperative complications . The use of electrofusion during vaginal surgery appears to be safe and simple. Moreover, it requires only minimal training in hands of experienced surgeons. </li></ul>

×