Study of laparoscopic ultrasonic scalpel sheath hysterectomy

    DONG Junª²Ying, GUANG Huiª²Juan, ZHANG Xiaoª²Hua, LI Haiª²Xia, LUO Meng, YE Yong

    Department of Obstetrics and Gynecology, Hanzhong People¬ðs Hospital, Hanzhong 723000, China

    ¡¾Abstract¡¿ AIM: To investigate the value of ultrasonic scalpel sheath hysterectomy. METHODS: One hundred and fortyª²two patients with benign gynecological pathological changes who would have hysterectomy were divided into two groups: 82 patients in experimental group who would have classic intrafascial supracervical hysterectomy (CISH) and 60 patients in Traditional Gastrohysterectomy (TH) group. The two groups were compared in operation duration, amount of bleeding during operation, postª²surgical recovery and followª²up results. RESULTS: Of the 82 cases in CISH group, 81 were successfully treated, and one patient underwent total abdominal hysterectomy (TAH) during the operation. There was no significant difference in operation duration between the two groups, but there were obvious differences in the amount of bleeding during operation, body temperature after operation, average postoperational hospital stay and recovery from the operation (P<0.01). CONCLUSION: The laparoscopic ultrasonic scalpel sheath hysterectomy has the advantages of minimal operating wound, low amount of bleeding, quick recovery, and short duration of hospitalization. Ultrasonic scalpel can achieve isolation, hemostasis and cutting in one step, and avoid electric burn. Ultrasonic scalpel is an ideal surgical option in treating benign uterine conditions. ......