Effective thermal destruction of residual tubal epithelium using an advanced sealing device in opportunistic salpingectomy

A randomized trial

Hyun Jin Choi, Hyunsoo Kim, Tae Joong Kim, Sang Yong Song, E. Sun Paik, Eun Jin Heo, Jin Young Park, Yoo Young Lee, Chel Hun Choi, Jeong Won Lee, Byoung Gie Kim, Duk Soo Bae

Research output: Contribution to journalArticle

Abstract

Objective To examine the effectiveness of proximal tube destruction at the uterine cornu by additional application of a sealing device. Methods A single-center randomized trial was conducted on 40 patients receiving a laparo-endoscopic single-site hysterectomy with opportunistic salpingectomy. We randomized patients into two groups at the time of admission to determine the laterality of additional thermal cauterization. Additional thermal cauterization for 10 seconds was applied on the right cornu in one group and on the left cornu in the other group. Three pieces of cornual tissue from each cornu were biopsied. One gynecological pathologist examined the cornual tissue to determine the residual tubal epithelium (TE) and thermal destruction of the specimens. Results Of the 40 patients enrolled in this study between September 2012 and July 2014, samples of 26 patients were subjected to tissue analysis. Residual TE was found in the cornu in 73.1% (19/26) and 65.4 % (17/26) of tissues from the side of no additional cauterization (NO) and the side of additional cauterization (AD), respectively (p < 0.001). Residual TE was detected in 5.3% (1/19) and 94.1% (16/17) of the specimens from the NO and AD groups, respectively. Conclusion We observed that a high incidence of residual TE and efficacious cauterization-induced thermal destruction was achieved following 10 seconds of additional cauterization. These results suggest that additional cauterization of the uterine cornu using the sealing device effectively destroys residual TE after salpingectomy.

Original languageEnglish
Pages (from-to)108-112
Number of pages5
JournalGynecology and Minimally Invasive Therapy
Volume6
Issue number3
DOIs
Publication statusPublished - 2017 Aug 1

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Salpingectomy
Incineration
Cautery
Epithelium
Equipment and Supplies
Hot Temperature
Hysterectomy

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynaecology

Cite this

Choi, Hyun Jin ; Kim, Hyunsoo ; Kim, Tae Joong ; Song, Sang Yong ; Sun Paik, E. ; Heo, Eun Jin ; Park, Jin Young ; Lee, Yoo Young ; Choi, Chel Hun ; Lee, Jeong Won ; Kim, Byoung Gie ; Bae, Duk Soo. / Effective thermal destruction of residual tubal epithelium using an advanced sealing device in opportunistic salpingectomy : A randomized trial. In: Gynecology and Minimally Invasive Therapy. 2017 ; Vol. 6, No. 3. pp. 108-112.
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abstract = "Objective To examine the effectiveness of proximal tube destruction at the uterine cornu by additional application of a sealing device. Methods A single-center randomized trial was conducted on 40 patients receiving a laparo-endoscopic single-site hysterectomy with opportunistic salpingectomy. We randomized patients into two groups at the time of admission to determine the laterality of additional thermal cauterization. Additional thermal cauterization for 10 seconds was applied on the right cornu in one group and on the left cornu in the other group. Three pieces of cornual tissue from each cornu were biopsied. One gynecological pathologist examined the cornual tissue to determine the residual tubal epithelium (TE) and thermal destruction of the specimens. Results Of the 40 patients enrolled in this study between September 2012 and July 2014, samples of 26 patients were subjected to tissue analysis. Residual TE was found in the cornu in 73.1{\%} (19/26) and 65.4 {\%} (17/26) of tissues from the side of no additional cauterization (NO) and the side of additional cauterization (AD), respectively (p < 0.001). Residual TE was detected in 5.3{\%} (1/19) and 94.1{\%} (16/17) of the specimens from the NO and AD groups, respectively. Conclusion We observed that a high incidence of residual TE and efficacious cauterization-induced thermal destruction was achieved following 10 seconds of additional cauterization. These results suggest that additional cauterization of the uterine cornu using the sealing device effectively destroys residual TE after salpingectomy.",
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Effective thermal destruction of residual tubal epithelium using an advanced sealing device in opportunistic salpingectomy : A randomized trial. / Choi, Hyun Jin; Kim, Hyunsoo; Kim, Tae Joong; Song, Sang Yong; Sun Paik, E.; Heo, Eun Jin; Park, Jin Young; Lee, Yoo Young; Choi, Chel Hun; Lee, Jeong Won; Kim, Byoung Gie; Bae, Duk Soo.

In: Gynecology and Minimally Invasive Therapy, Vol. 6, No. 3, 01.08.2017, p. 108-112.

Research output: Contribution to journalArticle

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AU - Choi, Hyun Jin

AU - Kim, Hyunsoo

AU - Kim, Tae Joong

AU - Song, Sang Yong

AU - Sun Paik, E.

AU - Heo, Eun Jin

AU - Park, Jin Young

AU - Lee, Yoo Young

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AU - Lee, Jeong Won

AU - Kim, Byoung Gie

AU - Bae, Duk Soo

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N2 - Objective To examine the effectiveness of proximal tube destruction at the uterine cornu by additional application of a sealing device. Methods A single-center randomized trial was conducted on 40 patients receiving a laparo-endoscopic single-site hysterectomy with opportunistic salpingectomy. We randomized patients into two groups at the time of admission to determine the laterality of additional thermal cauterization. Additional thermal cauterization for 10 seconds was applied on the right cornu in one group and on the left cornu in the other group. Three pieces of cornual tissue from each cornu were biopsied. One gynecological pathologist examined the cornual tissue to determine the residual tubal epithelium (TE) and thermal destruction of the specimens. Results Of the 40 patients enrolled in this study between September 2012 and July 2014, samples of 26 patients were subjected to tissue analysis. Residual TE was found in the cornu in 73.1% (19/26) and 65.4 % (17/26) of tissues from the side of no additional cauterization (NO) and the side of additional cauterization (AD), respectively (p < 0.001). Residual TE was detected in 5.3% (1/19) and 94.1% (16/17) of the specimens from the NO and AD groups, respectively. Conclusion We observed that a high incidence of residual TE and efficacious cauterization-induced thermal destruction was achieved following 10 seconds of additional cauterization. These results suggest that additional cauterization of the uterine cornu using the sealing device effectively destroys residual TE after salpingectomy.

AB - Objective To examine the effectiveness of proximal tube destruction at the uterine cornu by additional application of a sealing device. Methods A single-center randomized trial was conducted on 40 patients receiving a laparo-endoscopic single-site hysterectomy with opportunistic salpingectomy. We randomized patients into two groups at the time of admission to determine the laterality of additional thermal cauterization. Additional thermal cauterization for 10 seconds was applied on the right cornu in one group and on the left cornu in the other group. Three pieces of cornual tissue from each cornu were biopsied. One gynecological pathologist examined the cornual tissue to determine the residual tubal epithelium (TE) and thermal destruction of the specimens. Results Of the 40 patients enrolled in this study between September 2012 and July 2014, samples of 26 patients were subjected to tissue analysis. Residual TE was found in the cornu in 73.1% (19/26) and 65.4 % (17/26) of tissues from the side of no additional cauterization (NO) and the side of additional cauterization (AD), respectively (p < 0.001). Residual TE was detected in 5.3% (1/19) and 94.1% (16/17) of the specimens from the NO and AD groups, respectively. Conclusion We observed that a high incidence of residual TE and efficacious cauterization-induced thermal destruction was achieved following 10 seconds of additional cauterization. These results suggest that additional cauterization of the uterine cornu using the sealing device effectively destroys residual TE after salpingectomy.

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