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[Use of a stapler instrument for hysterotomy in cesarean section]
1Frauenklinik Luzern.
In a prospective, randomized study covering 100 patients with cesarean delivery the potential benefit of using a stapler for hysterotomy was investigated. Expectations were high, in particular in regard to loss of blood. However, no significant differences were found as regards this criterion, nor in the postoperative complication rate, duration of hospitalization or surgery, or febrile morbidity. The stapler is unwieldy and not always completely safe. If the higher cost of using the stapler is also taken into account one is bound to conclude that there is no reason to abandon the technique used hitherto.
In a prospective, randomized study covering 100 patients with cesarean delivery the potential benefit of using a stapler for hysterotomy was investigated. Expectations were high, in particular in regard to loss of blood. However, no significant differences were found as regards this criterion, nor in the postoperative complication rate, duration of hospitalization or surgery, or febrile morbidity. The stapler is unwieldy and not always completely safe. If the higher cost of using the stapler is also taken into account one is bound to conclude that there is no reason to abandon the technique used hitherto.