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Related Experiment Videos

Total laparoscopic hysterectomy using multifunction grasping, coagulating, and cutting forceps.

Chau-Su Ou1, James Joki, Karen Wells

  • 1Department of Research and Development, Northwest Hospital and University of Washington School of Medicine, Seattle, Washington 98155, USA. cou@nwhsea.org

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|April 27, 2004
PubMed
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The PlasmaKinetic (PK) system reduced blood loss during laparoscopic hysterectomy compared to traditional instruments. While slightly more expensive, it streamlined procedures and improved safety by reducing plume and charring.

Area of Science:

  • Minimally Invasive Surgery
  • Gynecologic Surgery
  • Surgical Technology

Background:

  • Total laparoscopic hysterectomy (LH) is a common gynecologic procedure.
  • Traditional instrumentation for LH involves multiple separate tools for grasping, cutting, and coagulation.
  • Advancements in surgical technology aim to improve efficiency and patient outcomes.

Purpose of the Study:

  • To compare the efficacy and safety of multifunction PlasmaKinetic (PK) cutting forceps versus traditional instruments (Kleppinger forceps and endoscopic scissors) in total laparoscopic hysterectomy.
  • To evaluate differences in surgery time, estimated blood loss, and costs between the two instrumentation groups.

Main Methods:

  • A retrospective review of 123 total laparoscopic hysterectomies performed by a single surgeon.

Related Experiment Videos

  • Patients were divided into two groups based on instrumentation used: Kleppinger forceps/endoscopic scissors or PlasmaKinetic (PK) multifunction forceps.
  • Data collected included surgery time, estimated blood loss, and instrument costs.

    • Main Results:

    • The PK system was associated with significantly lower estimated blood loss in both LH alone and LH with bilateral salpingo-oopherectomy procedures.
    • No significant difference in mean surgery time was observed between the groups.
    • The PK system resulted in approximately $70 greater disposable instrumentation costs per procedure but eliminated the need for a third instrument cannula and reduced instrument exchanges.

    Conclusions:

    • Multifunction PK cutting forceps offer reduced blood loss and improved safety (less plume, quicker coagulation, less charring) in total laparoscopic hysterectomy compared to traditional instruments.
    • Despite higher initial costs, the PK system may offer benefits in terms of procedural efficiency and safety.
    • Further research could explore long-term patient outcomes and cost-effectiveness.