TITLE

Uso de la pinza plasmakinetics vs material de sutura en la histerectomía total abdominal

AUTHOR(S)
Humberto Briones Landa, Carlos; Zepeda Zaragoza, Jorge; Dupré Aramburu, Guillermina; Laura Cruz Islas, Martha
PUB. DATE
December 2009
SOURCE
Ginecologia y Obstetricia de Mexico;dic2010, Vol. 77 Issue 12, p556
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Objective: To compare the safety and efficacy of the use of bipolar plasmakinetic vessel sealing versus standard technique when performing total abdominal hysterectomy for benign disease. Material and methods: Controlled randomized trial involving 94 women who underwent total abdominal hysterectomy. Forty seven procedures were performed using bipolar plasmakinetics vessel sealing and the remaining 47 with the standard suture technique. The primary outcomes were improvement in terms of blood loss, procedure time, hospital length of stay, and overall cost of the procedure. Statistical methodology considered significant p <0.05. Results: Mean operational time was shorter with bipolar vessel sealing duration of 82 minutes (range 78-85) versus 99 minutes (range 93-104) with standard technique; (p <0.001). Days in hospital for the bipolar vessel sealing group was 2.06 days (range 2-2.1), versus 3.2 days (range 2.9-3.4), (p<0.001), estimated blood loss of 209 mL (range 182-235) as compared to the standard group with 330 mL(range 297-362) (p <0.003), there was a significant difference in terms of overall cost with bipolar vessel sealing as compared to the standard technique (p <0.001).The incidence of perioperative complications was similar. Conclusions: Women who underwent the procedure with bipolar plasmakinetics vessel sealing showed a significant reduction in blood loss, operative time, length of stay, and also a decrease in the final cost of the procedure.
ACCESSION #
47685023

 

Related Articles

  • Possible Fertility Sparing Surgery for Necrotic Uterus. Mowat, Alex // Fertility Weekly;4/21/2014, p9 

    The article reports on the findings of the study which shows that uterine necrosis is a complication of using the Beta-Lynch suture as an option to hysterectomy for life-threatening postpartum hemorrhage. The purpose of the sutures which is to compress the uterine cavity without restricting the...

  • The Mattress Sutures: Vertical, Horizontal, and Corner Stitch. Zuber, Thomas J. // American Family Physician;12/15/2002, Vol. 66 Issue 12, p2231 

    Describes the techniques, indications and risks of several types of mattress sutures. Vertical mattress suture; Horizontal mattress suture; Corner stitch.

  • A Simple Continuous Pattern Using Absorbable Suture for Perineal Urethrostomy in the Cat: 18 Cases (2000-2002). Agrodnia, Marta D.; Hauptman, Joe G.; Stanley, Bryden J.; Walshaw, Richard // Journal of the American Animal Hospital Association;Nov2004, Vol. 40 Issue 6, pN.PAG 

    Closure with a simple continuous pattern using absorbable suture was evaluated in 18 cats that underwent perineal urethrostomy from 2000 to 2002. The perineal urethrostomy was performed in a similar manner in all the cats, and either 4-0 or 5-0 polydioxanone was used for closure. Cats were...

  • Reader Question.  // Eli's OASIS Alert;May2011, Vol. 12 Issue 5, p41 

    No abstract available.

  • Evaluating the Quill Self-Retaining System. Paul, Malcolm D. // Plastic Surgery Practice;Mar2009, Vol. 19 Issue 3, p30 

    The article compares the difference in time and cost between traditional wound-closure system and the Quill Self-Retaining System (SRS) closure of a brachioplasty, mastopexy, and abdominoplasty incision. The Quill SRS is a knotless surgical wound-closure system that has tiny barbs on its...

  • suture.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p2249 

    An encyclopedia entry for "suture" is presented. It refers to the line of union in an immovable articulation, or an operation in which soft tissues of the body are united. The term may also mean the thread, wire or other material used for stitching body parts together, or the unification by...

  • Releasable Suture Techniques for Trabeculectomy: An Illustrative Review. Wanner, Jason B.; Katz, L. Jay // Ophthalmic Surgery, Lasers & Imaging;Nov/Dec2004, Vol. 35 Issue 6, p465 

    Discusses several releasable suture techniques for trabeculectomy. Evolution of filtration surgery; Differences between releasable and laserable sutures; Benefit of a more securely sutured scleral flap.

  • suturation.  // Taber's Cyclopedic Medical Dictionary;2005, p2116 

    A definition of the term "suturation" is presented. It refers to the application of sutures, or stitching.

  • INFECTIONS OF VASCULAR ANASTOMOSES. Grafe, William R.; Watson, Robin C.; Dineen, Peter // Vascular Surgery;Sep/Oct1971, Vol. 5 Issue 4, p204 

    Discusses the infections of vascular anastomoses and grafts. Number of patients with infection of vascular suture lines and prostheses from 1960 to 1969; Procedures complicated by infection; Mortality of vascular procedures complicated by infection.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics