Cervical Detachment Using Monopolar SupraLoop™ Electrode versus Monopolar Needle in Laparoscopic Supracervical...

Area of Science:

• Minimally Invasive Gynecological Surgery
• Surgical Instrumentation
• Laparoscopic Procedures

Background:

• Current monopolar loop electrodes for laparoscopic supracervical hysterectomy (LSH) present handling challenges and contribute to high operating costs due to their disposable nature.
• Efficient and safe cervical detachment is crucial for successful LSH outcomes.

Purpose of the Study:

• To compare the efficacy and safety of a novel monopolar loop electrode (SupraLoop™) against the conventional monopolar needle for cervical detachment during LSH.

Main Methods:

• An interventional study involving 1598 patients undergoing LSH.
• The study group (1070 patients) used the SupraLoop™ device, while the control group (528 patients) used a monopolar needle.
• Cervical detachment time and device application/cutting time were assessed in a subgroup of 49 patients.

Main Results:

• LSH total operation time was significantly shorter with SupraLoop™ (93±41 min) compared to the needle (105±44 min) (p<0.001).
• Cervical detachment and device application/cutting times were markedly reduced using SupraLoop™ (0.12±0.21 min vs. 5.1±4.4 min; 2.3±1.8 min vs. 5.4±2.4 min, respectively; p<0.001).
• No major or minor complications were associated with SupraLoop™, unlike two intraoperative complications linked to the needle.

Conclusions:

• The SupraLoop™ monopolar loop electrode is an effective and safe instrument for cervical detachment in LSH.
• SupraLoop™ demonstrates superior performance compared to the monopolar needle, resulting in shorter operative times and fewer complications.