Use of a new energy-based vessel ligation device during laparoscopic gynecologic oncologic surgery

Background: Achieving hemostasis may sometimes be challenging, especially in minimal access surgery. The objective of this study was to evaluate the safety and effectiveness of a new ligation device. Methods: The LigaSure vessel sealing system, consisting of a bipolar radio frequency generator and a 5-mm laparoscopic Maryland-style grasper–dissector (LigaSure Lap), was used in 15 patients undergoing advanced laparoscopic gynecologic procedures. Results: Reliable vessel sealing was achieved in all the patients, with minimal sticking, charring, and lateral thermal spread. A decrease in blood loss and operating time was noted. Conclusions: This new energy-based vessel ligation device appears to be effective in advanced laparoscopic gynecologic procedures. Larger studies are needed to evaluate the complication rate and the cost effectiveness of this new technology.