Use of Vessel-Sealing Devices during Vaginal Hysterectomy

Abstract Study Objective To demonstrate the proper use of vessel-sealing devices during vaginal hysterectomy. Design Educational video (Canadian Task Force classification level III). Setting University hospital. Intervention The video reviews the principles on the use of energy in minimally invasive surgery. We focus on how vessel-sealing devices function and the benefits of their use in difficult vaginal hysterectomy. The video explains the 2 major types of complications, inadequate vessel sealing and undesired thermal injury, and demonstrates techniques to avoid these complications. Measurements and Main Results Laboratory, intraoperative, and cadaveric recordings demonstrate proper use and the complications that may arise in the setting of improper use. Conclusion Vessel-sealing devices may be a useful tool for surgeons performing vaginal hysterectomy. This video demonstrates their use and underlines the importance of understanding the principles of energy devices and their proper usage in surgery.