Öz Amaç: Bu çalışma, sezaryen cilt insizyonlarının etkileyen faktörleri araştırmayı amaçladı.Gereç ve Yöntem: Çalşımaya sezaryen ile doğum yapan 201 gebe dahil edildi. Sezaryen sonrası cilt insizyon uzunlukları mezure ile postoperatif birinci günde ölçüldü. Hastalar iki grupta değerlendirildi, birinci grubu uzmanlık öğrencileri tarafından gerçekleştirilen sezaryenler oluştururken, ikinci grubu uzmanlar tarafından gerçekleştirilenler oluşturdu. Hastaların demografik verileri, beklenen fetal ağırlıkları ve insizyon uzunlukları değerlendirildi.Bulgular: Hastaların yaşları 28.7±4.7 yıl, gravida 2.2±1.0, parite 1.0±0.7, vücut kitle indeksleri (BMI) 25.2±4.3 ve beklenen fetal ağırlık 3.315±425 gr idi. Cilt insizyon uzunlukları tüm cerrahlar için (sadece uzmanlık öğrencisi ve uzmanlar) 156.9±14, 159.5±13.1, ve 154.5±14.8 idi. Cilt insizyon uzunlukları, fetal ağırlık, maternal BMI, gravid ve parite ile korrele edildi. Ayrıca uzmanlar tarafından yapılan cilt insizyonları, uzmanlık öğrencilerine göre daha küçük idi.Sonuç: Sezaryen cilt insizyon uzunuluğu sadece cerrahi tecrübe değil, ayrıca fetal ağırlık, maternal BMI, gravid ve paritede etkilemektedir.

Background: We aimed to evaluate the short-term anatomical and clinical outcomes of elderly patients who underwent the Le Fort colpocleisis operation due to pelvic organ prolapse (POP) in our clinic. Methods: The medical records of fifty-nine sexually inactive females, with stage 2 or higher vaginal or uterine prolapse who underwent Le Fort colpocleisis operations were prospectively analysed. Preoperative and 12th month postoperative data were recorded. Lower urinary tract symptoms (LUTS) was also evaluated preoperatively and 12 months postoperatively in all patients. Anatomical success was determined as no prolapse of any POP-Q point at or below 1 cm above vaginal introitus. Results: A total of 59 patients were included in this study. The average age of the patients was 71.67 ± 7.01 (years). The mean BMI was 27.1 ± 9.52 kg/m². POP-Q point, C (6.70 ± 2.44 vs. − 2.66 ± 1.21) measurements were significantly deeper, as well as Gh (4.83 ± 0.94 vs. 4.26 ± 0.94) and TVL (3.51 ± 1.24 vs. 8.93 ± 1.73) measurements were significantly higher after surgery than during the preoperative period (p < 0.01, p < 0.01, p < 0.01, respectively). There were no cases of recurrence. The evaluation of LUTS at the 12-months postoperative follow-up revealed significant differences for SUI, urinary frequency, nocturia, and pelvic pain symptoms (p = 0.007, p < 0.001, p = 0.01, p < 0.001, respectively). Conclusions: Le Fort colpocleisis is a simple and effective procedure that provides successful anatomical and clinical outcomes in sexually inactive and elderly women with POP. However, the long-term results of this procedure need further investigation.

Objectives: To compare the use of Electrosurgical bipolar vessel sealing LigaSure™ small jaw instrument (LSJI) with conventional suture ligation in total abdominal hysterectomy (TAH). Methods: In this retrospective study 80 patients who underwent hysterectomy in the Gynecology and Obstetrics Department of Gulhane Education and Research Hospital between April 2017 and August 2018 were included. Two different groups that underwent Electrosurgical bipolar vessel sealing LigaSure™ small jaw instrument (LSJI) and conventional suture ligation in hysterectomy operation were analyzed retrospectively. The parameters evaluated and compared between the two groups include operation time, intraoperative blood loss, duration of hospitalization and incision length. Results: Among the parameters we compared between the two groups, there was no statistically significant difference between the amount of intraoperative blood loss (p:0.68) and the incision length (p:0.65). Among the parameters we compared between the two groups, a statistically significant difference was observed between the operation time (p:0.016) and the duration of hospitalization (p:0.01). Conclusion: Our comparison of LSJI vs. conventional ligation in hysterectomy revealed a significant difference only in operative time, where surgeries involving conventional ligation were shorter. On the other hand, incision length was evaluated in our study which has not been addressed in previous studies. There is also a need for multi-center studies that include more patients and evaluate cost-effectiveness. doi: https://doi.org/10.12669/pjms.38.1.4197 How to cite this:Ulubay M, Kinci MF, Pay RE, Dede M. Electrosurgical bipolar vessel sealing versus conventional clamping and suturing for total abdominal hysterectomy. Pak J Med Sci. 2022;38(1):156-161. doi: https://doi.org/10.12669/pjms.38.1.4197 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.