Utility of bipolar electrocautery scissors for cervical conization

Area of Science:

• Gynecologic Oncology
• Surgical Technology
• Cervical Pathology

Background:

• Cervical conization is a standard procedure for managing severe cervical dysplasia and in situ carcinoma.
• Traditional methods may involve longer operating times and significant blood loss.

Purpose of the Study:

• To evaluate the clinical utility and safety of bipolar electrocautery scissors in cervical conization.
• To compare the outcomes of bipolar electrocautery scissors with unipolar energy scalpels.

Main Methods:

• A randomized controlled trial involving 40 patients with severe dysplasia/in situ carcinoma of the uterine cervix.
• Patients were divided into two groups: 20 treated with unipolar energy scalpel and 20 with bipolar electrocautery scissors.
• Key metrics assessed included operating time, blood loss, recovery duration, complications, and margin adequacy.

Main Results:

• Bipolar electrocautery scissors significantly reduced operating time and recovery duration (by 50%).
• No ligations were required, and blood loss was significantly lower in the bipolar group.
• No perioperative hemorrhages, transfusions, or secondary surgeries were needed in the bipolar group; infections were absent in both groups.
• Adequacy of surgical margins for pathological examination was comparable between the two groups.

Conclusions:

• Bipolar electrocautery scissors are a safe and effective tool for cervical conization.
• This technique offers significant advantages by reducing operative time and blood loss.
• The use of bipolar electrocautery scissors does not compromise the adequacy of surgical margins or increase postoperative morbidity.