IMR Press / EJGO / Volume 23 / Issue 2 / pii/2002135

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research

Utility of bipolar electrocautery scissors for cervical conization

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1 Prof ofGynaecol. Oncol., Department of Pharmacology, Gynaecology and Obstetrics, University of Sassari (Italy)
2 Research Fellow, Department of Pharmacology, Gynaecology and Obstetrics, University of Sassari (Italy)
3 Midwife, Department of Pharmacology, Gynaecology and Obstetrics, University of Sassari (Italy)
4 Prof ofGynaecol. and Obstet. Department of Pharmacology, Gynaecology and Obstetrics, University of Sassari (Italy)
Eur. J. Gynaecol. Oncol. 2002, 23(2), 154–156;
Published: 10 April 2002
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
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