New techniques using the ultrasonic scalpel in laparoscopic hysterectomy

The ultrasonically activated scalpel has been shown to be a haemostatically effective cutting device in gynaecologic surgery. The introduction of laparosonic coagulating shears (Ethicon Endo-Surgery, Cincinnati, USA), with its multifunctionality, should have promoted wider use of the tool in major laparoscopic surgery, including hysterectomy and pelvic floor reconstructions. However, there is limited published data currently available on using ultrasonic energy in gynaecologic surgery.