Radiofrequency bipolar coagulation for radical hysterectomy: technique, feasibility and complications

Int J Gynecol Cancer. 2003 Mar-Apr;13(2):187-91. doi: 10.1046/j.1525-1438.2003.13032.x.

Abstract

This study describes the surgical technique and intra- and postoperative complications associated with the use of a radiofrequency bipolar coagulator in a series of 18 Piver type III-IV radical hysterectomies performed in cervical cancer patients. Preliminary vessel-by-vessel dissection of the lateral parametria was possible in 17 out of 18 (94%) cases, and a direct application of a radiofrequency bipolar coagulation instrument was performed to coagulate the posterior and anterior parametrial tissues in all cases. We were able to easily coagulate isolated vessels up to 5 mm of maximal diameter. In no case were clamps or hemoclips necessary to complete hemostasis. We did not observe any parametrial vessel damage or heat-related injury of the surrounding normal tissue. The median size of the parametria removed was 44 mm (range 31-58) and nodes were detected in 15 cases (83%). Median operative time and estimated blood loss for the whole procedure including systematic pelvic and aortic lymphadenectomy was 250 min (range 200-410) and 550 ml (range 400-2500), respectively. Median follow-up time was 9 months (range 5-13). No complications specifically related to the use of radiofrequency coagulation were found. In conclusion the radio-frequency coagulation with this instrument appears to be a safe technique that is particularly useful in reducing blood loss and operative time without affecting radicality in patients undergoing radical hysterectomy.

Publication types

  • Evaluation Study

MeSH terms

  • Adenocarcinoma / pathology
  • Adenocarcinoma / surgery*
  • Adult
  • Aged
  • Blood Loss, Surgical
  • Carcinoma, Squamous Cell / pathology
  • Carcinoma, Squamous Cell / surgery*
  • Catheter Ablation / instrumentation*
  • Feasibility Studies
  • Female
  • Humans
  • Hysterectomy / methods
  • Hysterectomy / standards*
  • Lymph Node Excision
  • Middle Aged
  • Neoplasm Staging
  • Postoperative Complications
  • Uterine Cervical Neoplasms / pathology
  • Uterine Cervical Neoplasms / surgery*