Outstanding Clinical Performance of Monopolar Electrosurgery in Laparoscopic Myomectomy

Uterine fibroids are benign tumors arising from the proliferation of smooth muscle cells in the uterus, affecting approximately 30% of women of reproductive age, with a malignancy rate of 0.4%–0.8%. Surgery remains the primary treatment, and advances in medical technology have enabled laparoscopic techniques to make significant strides in gynecology. Laparoscopic myomectomy is widely adopted due to its minimally invasive nature, reduced pain, and overall safety. However, intraoperative hemostasis of the fibroid bed remains a clinical challenge.

In a study published in Practical Journal of Integrated Chinese and Western Medicine, Li Kehong et al. compared the clinical performance of ultrasonic scalpels, monopolar electrosurgical devices, and cold knives in 92 laparoscopic myomectomy cases. Patients were divided into three groups: ultrasonic scalpel (32 cases), monopolar electrosurgery (32 cases), and cold knife (28 cases).

Results showed that both the ultrasonic scalpel and monopolar electrosurgery groups outperformed the cold knife group in terms of operative time, intraoperative blood loss, and uterine suturing time. Specifically, the monopolar group achieved a significantly shorter operative time (64.6±10.3 minutes vs. 81.7±11.6 minutes), reduced blood loss (103.3±11.5 ml vs.146.6±13.2 ml), and faster suturing (19.4±4.1 minutes vs. 24.3±3.2 minutes). Postoperative recovery was also improved, with earlier mobilization (12.4±4.2 hours) and shorter hospital stays (3.7±0.6 days). The study highlighted the strong performance of monopolar electrosurgery in enhancing surgical efficiency and postoperative recovery, noting its ease of use and cost-effectiveness as key advantages in laparoscopic myomectomy.

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