Comparative Analysis of Vaginal Cuff Dissection Outcomes in Laparoscopic Hysterectomy: Monopolar Hook vs. Harmonic Scalpel
- سال انتشار: 1404
- محل انتشار: فصلنامه زنان و مامایی و سرطانهای زنان، دوره: 10، شماره: 2
- کد COI اختصاصی: JR_JOGCR-10-2_009
- زبان مقاله: انگلیسی
- تعداد مشاهده: 82
نویسندگان
The Preventative Gynecology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Department of Obstetrics and Gynecology, School of Medicine, Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Department of Obstetrics and Gynecology, School of Medicine, Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Department of Obstetrics and Gynecology, School of Medicine, Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
چکیده
Background and Aims: This study aimed to compare the outcomes of vaginal cuff separation using monopolar hook or harmonic scalpel in laparoscopic hysterectomy. Materials and Methods: A retrospective analysis was conducted on ۲۱۰ women who underwent laparoscopic hysterectomy between ۲۰۲۲ and ۲۰۲۴. A total of ۱۰۵ cases for each surgical method were randomly selected from patient records. Demographic and clinical data were extracted from medical records and analyzed using IBM SPSS version ۲۶. P-value < ۰.۰۵ was deemed as statistically significant. Results: The mean age in the harmonic and monopolar groups was ۲۴.۷۶ (±۵.۴۱) and ۲۵.۷۵ (±۴.۶۴) years, respectively. There were no statistically significant differences between the groups in terms of age, BMI, hospitalization, history of previous abdominal surgery, preoperative hemoglobin levels, and hormone therapy (P> ۰.۰۵). The mean postoperative hemoglobin level in the harmonic group (۱۱.۸۳ ± ۱.۲۶) was significantly higher than in the monopolar group (۹.۰۴ ± ۱.۱۳) (P< ۰.۰۰۱). The average duration of vaginal cuff separation was significantly shorter in the monopolar group (۲۲.۲۴ ± ۴.۵۹) compared to the harmonic group (۲۸.۷۰ ± ۵.۹۳) (P< ۰.۰۰۱). Postoperative complications, particularly vaginal lacerations, were less frequent in the harmonic group (۴۵.۷%) than in the monopolar group (۶۰%) (P=۰.۰۱۵). The incidence of incidental findings, especially endometriosis, was lower in the harmonic group (۱۲.۴%) compared to the monopolar group (۲۳.۸%) (P=۰.۰۳۱). No cases of vaginal cuff dehiscence were observed in either group. Conclusion: This study demonstrated that vaginal cuff separation using harmonic scalpel in laparoscopic hysterectomy is associated with better outcomes compared to monopolar hook.کلیدواژه ها
Cuff, Hysterectomy, Hook, Scalpel, Postoperative complicationsاطلاعات بیشتر در مورد COI
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