Clampless abdominal hysterectomy: a pilot study

摘要

Our objective was to evaluate reduction in surgical bleeding by a modification in the customary simple abdominal hysterectomy (TAH) technique, the clampless abdominal hysterectomy (CAH). Eligible women were those with indications for abdominal hysterectomy. CAH is based on a simple distal tie-cut technique of the round ligaments, infundibulopelvic ligaments, and uterine vein and arteries, in comparison with the TAH technique of clamp-clamp-cut-tie-tie. Differences between the groups were tested by two-tailed unpaired Student t-tests (or the Mann Whitney U-test). Women in the CAH group (n=19) showed significantly less surgical bleeding (266.1±200.0 vs. 502.5±441.4 ml, p=0.04) and shorter surgical times (66.9±26.9 vs. 145.0±50.9 min, p=0.000002) than women in the TAH (n=21) group. We conclude that CAH could be a useful alternative for removing the uterus, significantly reducing both surgical bleeding and surgical time.