Article Text

Download PDFPDF
Radiofrequency bipolar coagulation for radical hysterectomy: Technique, feasibility and complications
  1. A. Ercoli*,
  2. A. Fagotti*,
  3. M. Malzoni,
  4. G. Ferrandina*,
  5. T. Susini,
  6. C. Malzoni and
  7. G. Scambia*
  1. * Department of Obstetrics and Gynecology, Catholic University, Rome
  2. Division of Obstetrics and Gynecology, Malzoni's Center, Avellino, Italy
  3. Department of Obstetrics and Gynecology, University of Florence, Florence, Italy
  1. Address correspondence and reprint requests to: Prof. G. Scambia, MD, Dept. of Gynecology, Catholic University of the Sacred Heart, L.go A. Gemelli, 8–00168, Rome, Italy. Email: giovanni.scambia{at}


This study describes the surgical technique and intra- and postoperative complications associated with the use of a radiofrequency bipolar coagulator in a series of 18 Piver type III-IV radical hysterectomies performed in cervical cancer patients. Preliminary vessel-by-vessel dissection of the lateral parametria was possible in 17 out of 18 (94%) cases, and a direct application of a radiofrequency bipolar coagulation instrument was performed to coagulate the posterior and anterior parametrial tissues in all cases. We were able to easily coagulate isolated vessels up to 5 mm of maximal diameter. In no case were clamps or hemoclips necessary to complete hemostasis. We did not observe any parametrial vessel damage or heat-related injury of the surrounding normal tissue. The median size of the parametria removed was 44 mm (range 31–58) and nodes were detected in 15 cases (83%). Median operative time and estimated blood loss for the whole procedure including systematic pelvic and aortic lymphadenectomy was 250 min (range 200–410) and 550 ml (range 400–2500), respectively. Median follow-up time was 9 months (range 5–13). No complications specifically related to the use of radiofrequency coagulation were found. In conclusion the radio-frequency coagulation with this instrument appears to be a safe technique that is particularly useful in reducing blood loss and operative time without affecting radicality in patients undergoing radical hysterectomy.

  • radical hysterectomy
  • radiofrequency coagulation

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.