Comparison of the Application Effect of Ultrasonic Scalpel and LigaSure in Laparoscopic Total Hysterectomy

TONG Yajuan; MENG Yinxia; LI Yuanyuan

doi:10.3969/j.issn.1004-437X.2024.21.019

Abstract：Objective To compare the application effect of ultrasonic scalpel and LigaSure in laparoscopic total hysterectomy.Methods A prospective selection of 98 patients who underwent laparoscopic hysterectomy in Luoyang Third People's Hospital from January 2021 to January 2023 were divided into two groups by random number table method,with 49 cases in each group.According to the intraoperative instruments used,they were respectively named as the ultrasound knife group and LigaSure group.The clinical indicators of the two groups were compared,estradiol(E2),follicle stimulating hormone(FSH),luteinizing hormone(LH),antral follicle count(AFC),pelvic function before and 6 months after surgery,as well as postoperative ureteral injury,incision infection,and vaginal stump complications such as bleeding and bladder irritation were compared.Results There was no statistical difference in the operation time and postoperative exhaust time between the two groups(P＞0.05).The intraoperative blood loss in LigaSure group was less than that of ultrasonic knife group,and the hospital stay was shorter than that of ultrasonic knife group(P＜0.05).The E2 and AFC levels of the two groups were lower than that before the operation at 6 months after operation,and the levels of FSH and LH were higher than that before the operation(P＜0.05).The levels of E2,FSH,LH and AFC between the two groups before the operation was not statistically significant(P＞0.05).At 6 months after the operation,the E2 level in LigaSure group was higher than that of ultrasonic knife group,and the FSH and LH levels were lower than that of ultrasonic knife group(P＜0.05).The incidence of postoperative urinary incontinence in LigaSure group and ultrasonic knife group was 12.24％and 6.12％,respectively(P＞0.05).The incidence of postoperative complications in LigaSure group and ultrasonic knife group was 10.20％and 8.16％,respectively(P＞0.05).Conclusion Ultrasound scalpel and LigaSure are both safe and reliable for laparoscopic hysterectomy,and LigaSure has less impact on postoperative ovarian function.