caa a22 4500 445306505 CHVBK 20180317142614.0 cr unu---uuuuu 170323e20110101xx s 000 0 eng 10.1007/s00404-009-1333-4 doi (NATIONALLICENCE)springer-10.1007/s00404-009-1333-4 Bipolar vessel sealing increases operative safety in laparoscopic-assisted vaginal hysterectomy [Elektronische Daten] [Kazem Nouri, Johannes Ott, Maurus Demmel, Regina Promberger, Johannes Huber, Klaus Mayerhofer] Background: To compare laparoscopic-assisted vaginal hysterectomy (LAVH) with and without bipolar vessel sealing (BVS) using the LigaSure™ device by meanings of intra- and postoperative course. Methods: In a retrospective case-control study 362 female patients (mean age 54.3±9.5years) were included who underwent LAVH with (n=252) and without (n=110) use of BVS. Intra- and postoperative courses and adverse events were evaluated. Results: A shorter mean operating time was found for LAVH with the use of BVS (65.28±16.33min) when compared with LAVH without the use of BVS (83.73±21.53min, P<0.005). The mean postoperative stay did not differ significantly between the two groups (P>0.05); 15 out of 251 (6.0%) patients were found to have adverse events during or after LAVH with the use of BVS in contrast to 16 out of 110 (14.5%) patients during or after LAVH without the use of BVS (P<0.05). Following the use of BVS significantly less patients reported postoperative pain for more than 7days after the operation in contrast to the use of sutures (0/251 [0%] vs. 3/110 [2.7%], respectively, P<0.05). Conclusion: The use of LigaSure™ is effective in decreasing operating time, the overall complication rate and postoperative pain. Springer-Verlag, 2009 Laparoscopic-assisted vaginal hysterectomy nationallicence Bipolar vessel sealing nationallicence Outcome nationallicence Complications nationallicence LigaSure nationallicence Nouri Kazem Department of Gynaecologic Endocrinology and Reproductive Medicine, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria aut Ott Johannes Department of Gynaecologic Endocrinology and Reproductive Medicine, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria aut Demmel Maurus Department of Gynecology and Obstetrics, LKH Wolfsberg, Carinthia, Austria aut Promberger Regina Department of Surgery, Medical University Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria aut Huber Johannes Department of Gynaecologic Endocrinology and Reproductive Medicine, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria aut Mayerhofer Klaus Department of Gynaecologic Endocrinology and Reproductive Medicine, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria aut Archives of Gynecology and Obstetrics Springer-Verlag 283/1(2011-01-01), 91-95 0932-0067 283:1<91 2011 283 404 https://doi.org/10.1007/s00404-009-1333-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-009-1333-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nouri Kazem Department of Gynaecologic Endocrinology and Reproductive Medicine, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria aut NATIONALLICENCE 700 1- Ott Johannes Department of Gynaecologic Endocrinology and Reproductive Medicine, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria aut NATIONALLICENCE 700 1- Demmel Maurus Department of Gynecology and Obstetrics, LKH Wolfsberg, Carinthia, Austria aut NATIONALLICENCE 700 1- Promberger Regina Department of Surgery, Medical University Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria aut NATIONALLICENCE 700 1- Huber Johannes Department of Gynaecologic Endocrinology and Reproductive Medicine, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria aut NATIONALLICENCE 700 1- Mayerhofer Klaus Department of Gynaecologic Endocrinology and Reproductive Medicine, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/1(2011-01-01), 91-95 0932-0067 283:1<91 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer