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Usefulness of vessel-sealing devices for peripartum hysterectomy: a retrospective cohort study

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Abstract

To evaluate the feasibility to perform peripartum hysterectomy (PH) with the introduction of LigaSure™ vessels-sealing device (LVSD) and how it influenced the surgical outcomes. We retrospectively evaluated procedures and outcome of women undergoing PH during the period between January 2001 and October 2013. Perioperative surgical results of patients undergoing PH using LVSD were compared to patients undergoing PH without LVSD. Forty-nine subjects had PH during the study period. Twenty (41 %) hysterectomies were performed for placenta accreta, 8 (16 %) for placenta previa, 21 (43 %) for atony. Twenty-three subjects had PH using LVSD and 26 subjects had hysterectomy without the use of this device. We observe significant differences in estimated blood loss (p = 0.001), massive blood transfusions (>10 units RBC) (p = 0.025), operative time (p = 0.06). No difference in term of hospital stay and complications were observed (p = 0.78 and p = 0.35). One patient for each group had intraoperative complication (p = 0.9). The use of LVSD during PH does not increase operative complications, blood loss, and operative time in comparison to standard procedure.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Standard

The study was approved by the Ethics Committee of the Department and conformed to the ethical guidelines of the Helsinki Declaration (as revised in Tokyo 2004).

Research involving human participants and/or animals

This article does not contain any studies with animals performed by any of the authors.

Informed consent

Written informed consent was obtained from each woman, and patient anonymity was preserved.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Papa Giovanni XXIII Hospital, Bergamo, Italy

    Diego Rossetti & Luigi Frigerio

  2. Department of Medical Surgical Specialties, University of Catania, Via Santa Sofia 78, 95123, Catania, Italy

    Salvatore Giovanni Vitale, Agnese Maria Chiara Rapisarda & Ferdinando Antonio Gulino

  3. Department of Obstetrics and Gynecology, University of Insubria, Varese, Italy

    Giorgio Bogani

Authors
  1. Diego Rossetti
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  2. Salvatore Giovanni Vitale
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  3. Giorgio Bogani
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  4. Agnese Maria Chiara Rapisarda
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  5. Ferdinando Antonio Gulino
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  6. Luigi Frigerio
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Corresponding author

Correspondence to Salvatore Giovanni Vitale.

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Rossetti, D., Vitale, S.G., Bogani, G. et al. Usefulness of vessel-sealing devices for peripartum hysterectomy: a retrospective cohort study. Updates Surg 67, 301–304 (2015). https://doi.org/10.1007/s13304-015-0289-0

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  • DOI: https://doi.org/10.1007/s13304-015-0289-0

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