This study compared the use of electrofusion versus sutures for ligating tissue during vaginal hysterectomies. The study included 96 patients undergoing simple vaginal hysterectomy without complications. Patients in the electrofusion group had significantly shorter operating times, less post-operative pain, and shorter hospital stays compared to the suture group. Complication rates were similar between the two groups. The study concluded that electrofusion reduces operating times and post-operative recovery without increasing complication risks.

1. VAGINAL HYSTERECTOMY USING ELECTROFUSION: A STUDY OF 96 CASES Jean DUBUISSON Daniel RAUDRANT François GOLFIER Mona MASSOUD Hôtel Dieu – Lyon, France Centre Hospitalier Lyon-Sud, France

5. RESULTATS NS 167,5 ± 84,5 194,2 ± 116,5 weight of the postoperative specimen (grams) NS 0,12 ± 0,40 0,07 ± 0,43 Previous caesarean section NS 2,0 ± 1,2 2,0 ± 1,2 PARITY NS 48,4 ± 7,4 50,0 ± 9,4 AGE (years) p SUTURE (control group) N = 42 ELECTROFUSION N = 54

6. TYPE OF SURGERY RESULTS NS p 27 (43,5%) 35 (56,5%) Vaginal hysterectomies without salpingo-oophorectomy 15 (44,1%) 19 (55,9%) Vaginal hysterectomies with salpingo-oophorectomy SUTURE N = 42 ELECTROFUSION N = 54

7. MAIN INDICATIONS RESULTS NS p 3 (30,0%) 7 (70,0%) OTHERS 4 (28,6%) 10 (71,4%) Carcinologic pathology, cervical dysplasia 9 (52,9%) 8 (47,1%) ADENOMYOSIS 26 (47,3%) 29 (52,7%) FIBROID SUTURE N = 42 (%) ELECTROFUSION N = 54 (%)

8. RESULTS Post-operative pain evaluation <0,001 1,60 ± 0,96 0,94 ± 0,79 Associated analgesics <0,05 45,4 ± 51,3 22,4 ± 31,0 Cumulative doses (mg) <0,05 29,4 ± 18,8 22,4 ± 13,4 Timing of morphine administration (hours) <0,001 3,5 ± 2,3 1,9 ± 2,0 VAS MAX / 24h p SUTURE N = 42 ELECTROFUSION N = 54

9. RESULTS Comparison of operating time and hospitalization post-op <0,001 5,0 ± 1,0 4,2 ± 1,3 HOSPITALIZATION POST-OP (days) <0,001 67,6 ± 20,1 51,3 ± 22,6 OPERATING TIME (min) p SUTURE N = 42 ELECTROFUSION N = 54