Use of the BiClamp (a bipolar coagulation forceps) in gynecological surgery

摘要

The integration of new technical possibilities into the overall concept is the determining factor in progress in surgery. The availability of the BiClamp and its specially designed electrical concept mean that we now have a new bipolar coagulation forceps at our disposal. Based on the principles of electrosurgery, we developed a new current modulation that has improved hemostatic properties. The new current modulation can be used for bipolar laparoscopic coagulation forceps, and also for new types of forceps for open surgery. The main area of use in open surgery is vaginal hysterectomy. Initial retrospective studies all showed that the newly designed forceps are a successful surgical instrument. The use of the BiClamp for vaginal hysterectomy leads to less blood loss and less postoperative pain, with similar results in these respects to laparoscopic surgery. In some studies, the duration of surgery was shorter than with conventional vaginal hysterectomy, and in others of similar length. Prospective, randomized controlled studies have, however, yet to be performed. We are of the opinion that confirmation of the results achieved so far will increase the spectrum of indications for this bipolar coagulation forceps, leading to greater patient benefit.