2022 Volume 38 Issue 1 Pages 8-13
Objective: Advanced energy devices are often used to perform laparoscopic surgery less invasively, with more safety and precision. This study aimed to compare the utility of LigaSureTM with conventional bipolar techniques in laparoscopic salpingectomy for tubal pregnancy.
Methods: This retrospective study included the comparisons among 82 patients (57 with unruptured fallopian tubes; 25 with ruptured fallopian tubes) who had undergone laparoscopic salpingectomy using LigaSureTM or conventional bipolar instruments from October 2009 to September 2018. Various perioperative parameters were evaluated from surgical videos and medical records, including total operative time from the skin incision to skin closure, the time from insertion of the energy device to the removal of the fallopian tube, intraoperative blood loss, and perioperative complications.
Results: The salpingectomy time was statistically shorter for LigaSureTM (274 seconds) than with bipolar instruments (599 seconds; p=0.0012). In cases of both unruptured (50 cases of LigaSureTM; seven of bipolar instruments) and ruptured (20 cases of LigaSureTM; five of bipolar instruments) fallopian tubes, the salpingectomy time was significantly shorter with LigaSureTM when compared with bipolar instruments (LigaSureTM: 256 seconds vs. bipolar instruments: 570 seconds; p=0.006, and LigaSureTM: 310 seconds vs. bipolar instruments: 609 seconds; p=0.003). The total operating time or intraoperative blood loss did not significantly differ between LigaSureTM and bipolar instruments groups.
Conclusions: Salpingectomy using LigaSureTM was comparable to conventional salpingectomy performed with bipolar and scissors forceps in terms of the total operating time and the amount of intraoperative bleeding; however, LigaSureTM was effective in shortening the salpingectomy time during laparoscopic surgery.
