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Abstract
Objective: To assess intra- and postoperative complications associated with LigaSure use in total abdominal hysterectomy (TAH) and to compare perioperative hemoglobin and hematocrit changes with conventional suture ligation.
Methods: A Prospective, cross-sectional, comparative study was conducted in the department of Obstetrics and Gynecology, PEMH Rawalpindi, from August 2022 to August 2023. A total of 212 women undergoing TAH were enrolled through convenience sampling and allocated into two equal groups. Group A underwent TAH using LigaSure, while Group B underwent surgery with conventional suturing. Sample size was calculated using G*Power with 95% power, α=0.05, and an effect size of 0.49 based on postoperative hemoglobin differences reported in previous studies. Outcomes included operative time, perioperative hemoglobin/hematocrit changes, transfusion requirements, analgesic use, and intra- and postoperative complications.
Results: LigaSure significantly reduced intraoperative blood loss, operative time, and postoperative pain scores compared to conventional suturing. Group A demonstrated a smaller decline in hemoglobin and hematocrit levels and a lower frequency of blood transfusion. Additionally, postoperative analgesic requirements, complication rates, and hospital stay were reduced in the LigaSure group.
Conclusion: The LigaSure vessel sealing system offers superior perioperative outcomes compared to conventional suture ligation in TAH, contributing to reduced blood loss, operative complications, and shorter hospitalization.
Keywords: Hysterectomy; Hemostasis, Surgical; Electrocoagulation; Blood Loss, Surgical; Postoperative Complications; Operative Time; Analgesics; Hemoglobins; Hematocrit; Bipolar Coagulation
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