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Original Research

Open Access

Utility of bipolar electrocautery scissors for cervical conization

  • P. L. Cherchi1
  • G. Capobianco2
  • G.Ambrosini2
  • G. M. Fadda2
  • M. D. Piga3
  • A. M. Canetto2
  • G. Rubattu2
  • S. Dessole4,*,

1Prof of Gynaecol. Oneal., Italy

2Research Fellow, Italy

3Midwife, Italy

4Prof of Gynaecol. and Obstet. Department of Pharmacology, Gynaecology and Obstetrics, University of Sassari, Italy

DOI: 10.12892/ejgo200202154 Vol.23,Issue 2,March 2002 pp.154-156

Published: 10 March 2002

*Corresponding Author(s): S. Dessole E-mail:

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Abstract

Objective: To evaluate the usefulness of bipolar electrocautery scissors for cervical conization.

Methods and materials: Forty patients with severe dysplasia/in situ carcinoma of the uterine cervix underwent cervical conization: 20 randomly selected patients were operated on with the unipolar energy scalpel and the other 20 were operated on with bipolar electrocautery scissors. In both groups operating time, number of ligations, blood loss, duration of recovery, perioperative complications and adequacy of the margins of the lesion were assessed. Data were compared by analysis of variance.

Results: In the bipolar group the average operating time and duration of recovery were significantly reduced (halved), no ligations were needed and the amount of blood loss was significantly reduced. Regarding perioperative complications, in the bipolar group there were no hemorrhages nor need of a second operation or transfusion. Infections did not occur in either group. We found no difference between the two groups regarding adequacy of the margins of the lesion for a good pathologic examination.

Conclusion: Bipolar electrocautery scissors were safe and useful in cervical conization by reducing the operating time and blood loss without increasing postoperative morbidity.

Keywords

Bipolar electrocautery scissors; Cervical conization

Cite and Share

P. L. Cherchi,G. Capobianco,G.Ambrosini,G. M. Fadda,M. D. Piga,A. M. Canetto,G. Rubattu,S. Dessole. Utility of bipolar electrocautery scissors for cervical conization. European Journal of Gynaecological Oncology. 2002. 23(2);154-156.

URL:

https://www.ejgo.net/articles/10.12892/ejgo200202154

References

[1] Vejerslev L. 0., Schouenborg L., Soresen F., Nielsen D., Soresen S. T., Juhl B. R., et al.: "Loop diathermy or laser excisional conization for cervical intraepithelial neoplasia". Acta Obstet. Gynecol. Scand., 1999, 78, 900.

[2] Johns A. : "Supracervical versus total hysterectomy". Clin. Obstet. Gynecol., 1997, 40, 903.

[3] Lewis P. L., Lashgari M.: "A comparison of cold knife, CO2 laser, and electrosurgical loop conization in the treatment of cervical intraepithelial neoplasia". J. Gynecol. Surg., 1994, 10, 229.

[4] Mathevet P., Dargent D., Roy M., Beau G.: "A randomized prospective study comparing three techniques of conization: cold knife, Laser, and LEEP". Gynecol. Oneal., 1994, 54, 175.

[5] Chapron C., Dubuisson J. B., Aubert Y., Morice P., Garnier P., Aubriot F., et al.: "Total laparoscopic hysterectomy: preliminary results". Hum. Reprod., 1994, 9, 2084.

[6] Song J., Cho S. J., Park C. S., Kim S. H., Ku P. S., Lee M. A.: "Two uterine arterial management methods in laparoscopic hysterectomy". J. Obstet. Gynaecol. Res., 1998, 24, 145.

[7] Polet R., De Jong P., Van der Spuy Z. M. , Shelton M.: "Laparoscopically assisted vaginal hysterectomy (LAVH) - an alternative to total abdominal hysterectomy". S. Afr. Med. J., 1996, 86, 1190.

[8] Dessole S., Rubattu G., Capobianco G., Caredda S., Cherchi P. L.: "Utility of bipolar electrocautery scissors for abdominal hysterectomy". Am. J. Obstet. Gynecol., 2000, 183, 396.

[9] Zar J. H.: "Biostatistical analysis". 2nd ed. Englewood Cliffs, NJ: Prentice-Hall; 1984.

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