SynthesisSurgical endoscopy2012
Effectiveness of electrothermal bipolar vessel-sealing devices versus other electrothermal and ultrasonic devices for abdominal surgical hemostasis: a systematic review.
Synthesis in Surgical endoscopy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02140476 (Comparative Analysis Between A Bipolar Vessel Sealing and Cutting Device and the Tie and Suture Technique in Thyroidectomy), which is not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Comparative Analysis Between A Bipolar Vessel Sealing and Cutting Device and the Tie and Suture Technique in Thyroidectomy: A Two Institution Randomized Clinical Trial
Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Non-vascular experimental and clinical applications of advanced bipolar radiofrequency thermofusion technology in the thorax and abdomen: a systematic review.Surgical endoscopy · 2015Pooled it
- Is the postoperative discomfort after connective tissue harvesting from the palate influenced by the use of a bipolar coagulator? A randomized controlled trial.Clinical and experimental dental research · 2021Trial
- Article
- Evaluation of thermal effects of surgical energy devices: ex vivo study.Scientific reports · 2024Article
- Techniques for Thyroidectomy and Functional Neck Dissection.Journal of clinical medicine · 2024Review
- Comparison of the efficacy and perioperative pain between vessel sealing and suture ligation for median celiotomy in canine ovariohysterectomy.Veterinary world · 2023Article
- Use of energy device in general surgical operations: impact on peri-operative outcomes.BMC surgery · 2022Article
- Proprieties of adhesive surface arrays to thyroid cartilage for recurrent laryngeal nerve monitoring.Annals of translational medicine · 2021Article
- Laparoscopic transperitoneal adrenalectomy: a comparative study of different techniques for vessel sealing.Surgical endoscopy · 2021Article
- LigaSure for the Creation of Bloodless Breast Pockets in Patients Undergoing Transaxillary Breast Augmentation.Plastic and reconstructive surgery. Global open · 2020Article
- Bipolar Vessel Sealing System Versus Suture Ligation in Selective Neck Dissection.Journal of maxillofacial and oral surgery · 2018Article
- Lateral thermal spread and recurrent laryngeal nerve paralysis after minimally invasive esophagectomy in bipolar vessel sealing and ultrasonic energy devices: a comparative study.Esophagus : official journal of the Japan Esophageal Society · 2018Article
- Article
- Major vessel sealing in laparoscopic surgery for colorectal cancer: a single-center experience with 759 patients.World journal of surgical oncology · 2018Article
- Evaluation and Comparison of Contemporary Energy-Based Surgical Vessel Sealing Devices.Journal of endourology · 2018Article
- Impact of radiofrequency energy on intraoperative outcomes of laparoscopic colectomy for cancer in obese patients.Updates in surgery · 2017Article
- Next Generation Hemostatic Materials Based on NHS-Ester Functionalized Poly(2-oxazoline)s.Biomacromolecules · 2017Article
- New Surgical Technologies Could Facilitate Surgical Hemostasis in Hemophilic Patients.Open access Macedonian journal of medical sciences · 2017Article
- Evaluation of the LigaSure(™) Vessel Sealing System for bowel transection and intestinal anastomosis-an experimental study in a porcine model.Langenbeck's archives of surgery · 2016Article
- Changes over time in milk test results following pancreatectomy.World journal of gastrointestinal surgery · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdequate hemostatic techniques are essential for optimal intra- and postoperative results. A number of different hemostatic techniques and devices have been developed over the past few years, but which device should be preferred during laparoscopic and open abdominal procedures?
methodsWe conducted a systematic search for randomized controlled trials (RCTs) that compared the effectiveness and costs of vessel-sealing devices with those of other electrothermal or ultrasonic devices in abdominal surgical procedures.
resultsSeven RCTs that included 554 patients met the inclusion criteria. Various procedures that used a vessel-sealing device (LigaSure™) (n = 264) were compared to ultrasonic devices (n = 139) and mono- (n = 20) or bipolar devices (n = 130). LigaSure was favored in two studies with respect to less blood loss, shorter operating time, and lower costs. However, no differences were observed in the other studies. Considering the relatively low number of complications, all hemostatic devices used may be considered relatively safe. None of the studies reported on quality of life or cost effectiveness.
conclusionsVessel-sealing devices may be considered safe and their use may reduce costs due to reduced blood loss and shorter operating time in some abdominal surgical procedures compared to mono- or bipolar electrothermal devices. Wider-ranging RCTs of sufficient quality that assess (cost) effectiveness are required to make firm conclusions.
Indexed as
Identifiers
22538684What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.