Vaginal Hysterectomy with BiClamp®
Less pain and minimal bleeding through thermofusion
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The BiClamp is an instrument used for safe thermofusion of vessels and vascularized tissue structures. In gynecology these properties are used to seal uterine tissue structures before separation and mobilization of the uterus during transvaginal hysterectomy. The cervix and parametrium are safely thermofused with the bipolar BiClamp procedure so that the surgeon does not need to use sutures or clips to treat the vessels. |
Indications
- Ovarian carcinoma
- Carcinoma of the uterus
- Descensus uteri
- Endometriosis
- Acute hemorrhaging from the uterus
- Non-controllable inflammation of the inner genital organs
Advantages of ERBE equipment
- Good visibility, because retrograde bleeding from the uterus is avoided
- Shorter operating times
- Rapid convalescence and early mobilization for the patient
- Avoids ligatures. No subsequent tissue necrosis, therefore less pain
- Highly economical: ERBE BiClamp is reusable; the procedure saves time and suture material
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Operation steps
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Hemostasis around the cervix
With the BiClamp the exposed structures of the parametria can be coagulated, either in one go or in smaller steps, and then severed with the scissors. The amputation of the sacrouterine ligaments in particular improves the mobility of the uterus.
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Sealing and Dissection of the cardinal ligaments and the columns of the bladder
The cardinal ligaments and the columns of the bladder are severed very much caudally to the curve of the uterine arteries; it is important to ensure that the bladder is elevated using the front speculum.
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Hemostasis and additional amputation of the uterine vessels
The bullet forceps are used to grasp the edge of the isthmus where coagulation and dissection should be carried out. The BiClamp can then be placed in the axis of the vagina at the isthmus. Using the BiClamp the branches of the uterine vessels are coagulated and dissected. It is not necessary to prepare the stalk of the vessel any further.
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Amputation of the uterus at the adnexa
If the adnexa are to be left in place, then the end of the adnexa must be grasped directly where it is attached to the uterus and coagulated once or twice with the ERBE BiClamp, after which it can then be amputated with scissors. Depending on the anatomy it is possible to make use of either the concave or the convex shape of the instrument.
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Minimal Trauma of the Patients
Thermal hemostasis reduces inflammatory and painful events. The pedicles along the ligature are not crushed so that there is no tissue necrosis.
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