Absorbable ligating clip in laparoscopic hysterectomy
10.3969/j.issn.2095-4344.2014.34.026
- VernacularTitle:可吸收结扎钉夹在腹腔镜下子宫全切术中的应用价值
- Author:
Ali LI
- Publication Type:Journal Article
- Keywords:
biocompatible materials;
absorbable implants;
postoperative complications
- From:
Chinese Journal of Tissue Engineering Research
2014;(34):5561-5565
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:Titanium clip, commonly used in abdominal surgery and obstetrics and gynecology surgery,
has a great damage to the vascular tissue, and its excessive clipping can cut off the vessel and produce artifacts and deflection MRI on MRI and CT scan. In addition, its biocompatibility is not wel that increases the risks for
local inflammatory response and scarring.
OBJECTIVE: To observe the clinical efficacy of absorbable ligating clip in laparoscopic hysterectomy and to evaluate its clinical value.
METHODS: Ninety-eight patients undergoing laparoscopic hysterectomy were randomly divided into two groups: 49 patients in the observation group were subjected to occlusion of the uterine artery by a Johnson absorbable ligating chip and then complete removal of the uterus; 49 patients in the control group were subjected to occlusion of the uterine artery with a titanium clip. Hospital stay and postoperative complications were recorded and
analyzed between the two groups.
RESULTS AND CONCLUSION: The use of absorbable ligating clip in laparoscopic hysterectomy significantly shortened the hospital stay, and postoperative pain, adhesions, pelvic fluid, fever and other complications were significantly reduced (P< 0.05). In addition, no postoperative infection occurred in the two groups and there was no significant difference in the class A healing rate between the two groups (P > 0.05). The results suggest that absorbable ligating clip with better biocompatibility can help to reduce tissue reactions and promote tissue repair, which is characterized as effective, safe and reliable.
