Single-Use Energy Sources and Operating Room Time for Laparoscopic Hysterectomy: A Randomized Controlled Trial

Journal of Minimally Invasive Gynecology
M Brigid Holloran-SchwartzPatrick P Yeung

Abstract

To compare the intraoperative direct costs of a single-use energy device with reusable energy devices during laparoscopic hysterectomy. A randomized controlled trial (Canadian Task Force Classification I). An academic hospital. Forty-six women who underwent laparoscopic hysterectomy from March 2013 to September 2013. Each patient served as her own control. One side of the uterine attachments was desiccated and transected with the single-use device (Ligasure 5-mm Blunt Tip LF1537 with the Force Triad generator). The other side was desiccated and transected with reusable bipolar forceps (RoBi 5 mm), and transected with monopolar scissors using the same Covidien Force Triad generator. The instrument approach used was randomized to the attending physician who was always on the patient's left side. Resident physicians always operated on the patient's right side and used the converse instruments of the attending physician. Start time was recorded at the utero-ovarian pedicle and end time was recorded after transection of the uterine artery on the same side. Costs included the single-use device; amortized costs of the generator, reusable instruments, and cords; cleaning and packaging of reusable instruments; and disposal of the single...Continue Reading

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Citations

Oct 25, 2016·International Journal of Surgery·Tao GuoKun Li
Oct 27, 2016·Journal of Minimally Invasive Gynecology·Katherine CroftR Wendel Naumann
Jan 13, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Salih TaşkınFırat Ortaç
Mar 14, 2018·Annals of Surgery·Christopher P ChildersMelinda Maggard-Gibbons
May 7, 2020·Current Opinion in Obstetrics & Gynecology·Meenal MisalMegan N Wasson
Aug 20, 2019·The Journal of Obstetrics and Gynaecology Research·Burcu Aykan YukselBaris Mulayim
Feb 18, 2021·Obstetrics and Gynecology·Matthew K WagarMakeba Williams

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