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First experience of a modified device for excision of the endocervix in a reverse cone during laparoscopic supracervical hysterectomy
- Source :
- Journal of minimally invasive gynecology. 15(5)
- Publication Year :
- 2008
-
Abstract
- The objective of this study was to evaluate the performance and safety of a modified unipolar electrode developed for excision of the endocervix in a reverse cone pattern during laparoscopic supracervical hysterectomy (LSH) to reduce the occurrence of persistent vaginal bleeding after the procedure. The study is a prospective pilot trial performed at a Norwegian university teaching hospital. Excision of the endocervix was performed with the unipolar electrode immediately after the amputation of the cervix during LSH in 23 consecutive women referred to the department for hysterectomy on the basis of a benign condition. The mean duration of the inverse conization was 61.9 seconds (SD 24.7). The excision of the endocervix in a reverse cone pattern was reported to be without technical problems in 22 procedures (96%). The results of this pilot study indicate that the modified device is safe, technically easy to use, and prolongs the duration of the LSH procedure insignificantly. Long-term effects of the device will be evaluated in a prospective randomized trial.
- Subjects :
- Adult
medicine.medical_specialty
medicine.medical_treatment
Conization
Electrosurgery
Pilot Projects
Cervix Uteri
Postoperative Hemorrhage
Hysterectomy
law.invention
Randomized controlled trial
law
medicine
Humans
Vaginal bleeding
Laparoscopy
Cervix
medicine.diagnostic_test
business.industry
Obstetrics and Gynecology
Middle Aged
Surgery
Clinical trial
medicine.anatomical_structure
Amputation
Female
medicine.symptom
business
Endocervix
Subjects
Details
- ISSN :
- 15534650
- Volume :
- 15
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Journal of minimally invasive gynecology
- Accession number :
- edsair.doi.dedup.....78fb4c5163e092af851b5fc2d94f582c