Objectives: This study compares bipolar coagulation cutting forceps (Enseal® Trio Device) versus conventional suture ligation for the vaginal portion of a laparoscopic-assisted vaginal hysterectomy. Design: A retrospective chart review analysis was conducted in a single-physician, private practice. Materials and methods: Seventy-nine patients underwent a laparoscopic assisted vaginal hysterectomy using either a bipolar coagulation cutting forceps (Enseal Trio Device) or conventional suture ligation vaginally. Data were collected and analyzed measuring surgical times, length of stay, postoperative fever, postoperative bleeding, surgical blood loss, readmission to hospital, uterine weight, and patient age. Results: The surgical procedures that utilized the bipolar coagulation cutting forceps (Enseal Trio Device) vaginally, decreased surgical time by 19% (P=0.001) and showed significantly lower blood loss (P=0.049) than identical procedures where suturing was performed vaginally. Cost analysis showed savings using the total Enseal Trio Device. Conclusions: Using Enseal Trio Device laparoscopically and vaginally is a user-friendly technique with positive benefits for patients with respect to blood loss and operating room surgical time (J GYNECOL SURG 29:131)
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