Single-Use Energy Sources and Operating Room Time for Laparoscopic Hysterectomy: A Randomized Controlled Trial.


STUDY OBJECTIVES:To compare the intraoperative direct costs of a single-use energy device with reusable energy devices during laparoscopic hysterectomy. DESIGN:A randomized controlled trial (Canadian Task Force Classification I). SETTING:An academic hospital. PATIENTS:Forty-six women who underwent laparoscopic hysterectomy from March 2013 to September 2013. INTERVENTIONS:Each patient served as her own control. One side of the uterine attachments was desiccated and transected with the single-use device (Ligasure 5-mm Blunt Tip LF1537 with the Force Triad generator). The other side was desiccated and transected with reusable bipolar forceps (RoBi 5 mm), and transected with monopolar scissors using the same Covidien Force Triad generator. The instrument approach used was randomized to the attending physician who was always on the patient's left side. Resident physicians always operated on the patient's right side and used the converse instruments of the attending physician. MEASUREMENTS AND MAIN RESULTS:Start time was recorded at the utero-ovarian pedicle and end time was recorded after transection of the uterine artery on the same side. Costs included the single-use device; amortized costs of the generator, reusable instruments, and cords; cleaning and packaging of reusable instruments; and disposal of the single-use device. Operating room time was $94.14/min. We estimated that our single use-device cost $630.14 and had a total time savings of 6.7 min per case, or 3.35 min per side, which could justify the expense of the device. The single-use energy device had significant median time savings (-4.7 min per side, p < .001) and total intraoperative direct cost savings ($254.16 per case). CONCLUSIONS:A single-use energy device that both desiccates and cuts significantly reduced operating room time to justify its own cost, and it also reduced total intraoperative direct costs during laparoscopic hysterectomy in our institution. Operating room cost per minute varies between institutions and must be considered before generalizing our results.


Holloran-Schwartz MB,Gavard JA,Martin JC,Blaskiewicz RJ,Yeung PP Jr




Has Abstract


2016-01-01 00:00:00














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    abstract::A 33-year-old woman with a 2-year history of swelling and pain in her buttock and left thigh fluctuating with her menstrual cycle who was becoming progressively disabled was referred to the department of orthopedics. Magnetic resonance imaging (MRI) detected a left buttock lesion of 3 x 2 cm that was initially diagnos...

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    更新日期:2009-01-01 00:00:00

  • Preoperative Oral Carbohydrate Loading in Laparoscopic Gynecologic Surgery: A Randomized Controlled Trial.

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  • Sexual Function following Laparoscopic versus Transvaginal Closure of the Vaginal Vault after Laparoscopic Hysterectomy: Secondary Analysis of a Randomized Trial by the Italian Society of Gynecological Endoscopy Using a Validated Questionnaire.

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    authors: Chudnoff S,Glazer S,Levie M

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    更新日期:2014-01-01 00:00:00

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    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章


    authors: Fortin C,Hur C,Falcone T

    更新日期:2019-02-01 00:00:00

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    journal_title:Journal of minimally invasive gynecology

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    authors: Di Spiezio Sardo A,Giampaolino P,Scognamiglio M,Varelli C,Nazzaro G,Mansueto G,Nappi C,Grimbizis GF

    更新日期:2016-01-01 00:00:00

  • Impact of Temporary Protective Ileostomy on Intestinal Function and Quality of Life after a 2-Year Follow-up in Patients Who Underwent Colorectal Segmental Resection for Endometriosis.

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    journal_title:Journal of minimally invasive gynecology

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    authors: Raimondo D,Mattioli G,Degli Esposti E,Gregori B,Del Forno S,Mastronardi M,Arena A,Borghese G,Ambrosio M,Seracchioli R

    更新日期:2020-01-01 00:00:00

  • Splenic rupture after laparoscopic surgery: a case report.

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    journal_title:Journal of minimally invasive gynecology

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    authors: Huchon C,Estrade S,Montariol T,Stirnemann J,Bader G,Fauconnier A

    更新日期:2008-01-01 00:00:00

  • Pain is an Independent Risk Factor for Failed Global Endometrial Ablation.

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    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章


    authors: Cramer MS,Klebanoff JS,Hoffman MK

    更新日期:2018-01-01 00:00:00

  • Operative hysteroscopy to remove retained products of conception: novel treatment of an old problem.

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    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章


    authors: Golan A,Dishi M,Shalev A,Keidar R,Ginath S,Sagiv R

    更新日期:2011-01-01 00:00:00