الفهرس 
Anatomy of the uterusOnly 14 pages are availabe for public view
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Abstract
Background: Hysterectomy is one of the most commonly performed gynecological surgical procedure. In 2010, over 430,000 inpatient hysterectomies were performed in the United States. Abdominal hysterectomy refers to removal of the uterus via a laparotomy. Either total hysterectomy (uterus including cervix) or subtotal (supracervical) hysterectomy may be performed. The ovaries may or may not be removed at the time of hysterectomy. The choice of surgical approach depends upon clinical circumstances, the surgeon’s technical expertise, and patient preference.
Aims: The aim of this study is to assess the safety and efficacy of using the electrosurgical bipolar vessel sealing (EBVS) system using ligasure for securing the pedicles during abdominal hysterectomy in comparison with the conventional method of securing the pedicles by clamping and suture ligation.
Methodology: Study design: It is a prospective randomized controlled trial.
Study setting: The study was conducted at Ain Shams University Maternity Hospital.
Period of the study It was conducted since August 2015 to April 2017.
Results:
The study population was randomizdly divided into 2 groups. Each group included 70 patients.
group A: This group included women have performed total abdominal hysterectomy and bilateral salpingoophrectomy using electrosurgical bipolar vessel sealing by ligasure.
group B: This group included women have performed total abdominal hysterectomy and bilateral salpingoophrectomy using conventional sutures.
Conclusion: Electrosurgical bipolar vessel sealing is an effective alternative to sutures in abdominal hysterectomy, resulting in significantly reduced operative time and blood loss, postoperative pain without increasing the rate of occurrence of complications.
Recommendations: EBVS is an effective method not only in abdominal hysterectomy but also in vaginal and laparoscopic approaches. EBVS if available in many medical institutes it will not only benefit the patient but also it will benefit the country and will increase the financial resources.