دورية أكاديمية
Feasibility, Safety, and Provider Perspectives of Bipolar Electrosurgical Cautery Device for (Opportunistic or Complete) Salpingectomy at the Time of Cesarean Delivery.
| العنوان: | Feasibility, Safety, and Provider Perspectives of Bipolar Electrosurgical Cautery Device for (Opportunistic or Complete) Salpingectomy at the Time of Cesarean Delivery. |
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| المؤلفون: | Ostby SA; Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Center for Women's Reproductive Health, Birmingham, Alabama., Blanchard CT; Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Center for Women's Reproductive Health, Birmingham, Alabama., Sanjanwala AR; Division of Maternal-Fetal Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania., Szychowski JM; Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Center for Women's Reproductive Health, Birmingham, Alabama., Leath CA 3rd; Division of Gynecologic Oncology, University of Alabama at Birmingham, Birmingham, Alabama., Huh WK; Division of Gynecologic Oncology, University of Alabama at Birmingham, Birmingham, Alabama., Subramaniam A; Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Center for Women's Reproductive Health, Birmingham, Alabama. |
| المصدر: | American journal of perinatology [Am J Perinatol] 2024 Apr; Vol. 41 (6), pp. 804-813. Date of Electronic Publication: 2022 Jun 21. |
| نوع المنشور: | Randomized Controlled Trial; Journal Article; Research Support, Non-U.S. Gov't; Research Support, N.I.H., Extramural |
| اللغة: | English |
| بيانات الدورية: | Publisher: Thieme-Stratton Country of Publication: United States NLM ID: 8405212 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1098-8785 (Electronic) Linking ISSN: 07351631 NLM ISO Abbreviation: Am J Perinatol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: New York, NY : Thieme-Stratton, 1983- |
| مواضيع طبية MeSH: | Electrosurgery* , Salpingectomy*/methods, Pregnancy ; Female ; Humans ; Feasibility Studies ; Electrocoagulation ; Cautery |
| مستخلص: | Objective: The aim of the study is to evaluate the use of a bipolar electrocautery device for complete salpingectomy at cesarean to improve procedure completion rates, operative time, and surgeon reported satisfaction as compared with standard bilateral tubal ligation (BTL) and suture-cut-tie salpingectomy. Study Design: This is a prospective cohort study of women undergoing planned, non-emergent cesarean with desired sterilization with complete salpingectomy utilizing a bipolar electrocautery device. Study patients were compared with historic controls from a randomized controlled trial (RCT) of complete salpingectomy via suture-cut-tie method versus BTL conducted at our institution (SCORE trial, NCT02374827). Outcomes were compared with groups from the original RCT. Results: Thirty-nine women were consecutively enrolled (12/2018-11/2019) into the device arm of the study and compared with the original SCORE cohort ( n = 40 BTL, n = 40 salpingectomy without a device). Salpingectomy performance with the bipolar electrocautery device was successfully completed in 100% (39/39) of enrolled women, with one device failure requiring the use of a second device, as compared with 95% (38/40) in the BTL ( p = 0.49) and 67.5% (27/40) in salpingectomies without a device ( p < 0.001). Mean operative time of sterilization procedure alone demonstrated device use as having the shortest operative time of all (device salpingectomy 5.0 ± 3.6 vs. no device 18.5 ± 8.3 minutes, p < 0.001; and vs. BTL 6.9 ± 5.0, p = 0.032). Mean sterilization procedure endoscopic band ligation (EBL) was demonstrated to be significantly different between each group, least amongst BTL followed by device (6.3 ± 4.8 vs. 8.4 ± 24.8, p < 0.001), and most by suture-cut-tie method (17.7 ± 14.3, p < 0.001 compared with device). Surgeon reported attitudes of complete salpingectomy performance in general practice outside an academic setting was greater with a device than without (79.5 vs. 35.3%; p < 0.001). Conclusion: Use of a bipolar electrocautery device improved operative times and surgeon satisfaction for salpingectomy at cesarean over standard suture ligation. Device use improved surgeon reported outcomes and may improve incorporation of complete salpingectomy at cesarean. Key Points: · Electrocautery bipolar device use was safe at the time of salpingectomy during cesarean.. · Greater surgeon satisfaction occurs using a device than without.. · Decreased surgical time with device use is seen making the procedure equal to BTL.. Competing Interests: None declared. (Thieme. All rights reserved.) |
| معلومات مُعتمدة: | Medtronic, Covidien, LP ERP 2017-11074; Debora Kogan Lyda Ovarian Cancer Memorial Fund SCORE, NCT02374827; ERP 2017-11074 Medtronic, Covidien, LP; SCORE, NCT02374827 Debora Kogan Lyda Ovarian Cancer Memorial Fund; UG1 CA233330 United States CA NCI NIH HHS |
| سلسلة جزيئية: | ClinicalTrials.gov NCT02374827 |
| تواريخ الأحداث: | Date Created: 20220621 Date Completed: 20240412 Latest Revision: 20240729 |
| رمز التحديث: | 20240729 |
| DOI: | 10.1055/s-0042-1748525 |
| PMID: | 35728603 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1098-8785 |
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| DOI: | 10.1055/s-0042-1748525 |