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Published on: February 19, 2022
Use of a new energy-based vessel ligation device during laparoscopic gynecologic oncologic surgery
1Department of Obstetrics and Gynecology, CHUM - Notre-Dame Hospital, Pavillon Charles-Simard, 2065 Alexandre-de-Sève, 4th Floor, Montreal, Quebec, Canada, H2L 2W5. josee.dubuc-lissoir.chum@ssss.gouv.qc.ca
Background:
Achieving hemostasis may sometimes be challenging, especially in minimal access surgery. The objective of this study was to evaluate the safety and effectiveness of a new ligation device.
Methods:
The LigaSure vessel sealing system, consisting of a bipolar radio frequency generator and a 5-mm laparoscopic Maryland-style grasper-dissector (LigaSure Lap), was used in 15 patients undergoing advanced laparoscopic gynecologic procedures.
Results:
Reliable vessel sealing was achieved in all the patients, with minimal sticking, charring, and lateral thermal spread. A decrease in blood loss and operating time was noted.
Conclusions:
This new energy-based vessel ligation device appears to be effective in advanced laparoscopic gynecologic procedures. Larger studies are needed to evaluate the complication rate and the cost effectiveness of this new technology.
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