OPTIMIZED ARGON PLASMA COAGULATION IN EMERGENCY GYNECOLOGIC SURGERY: STUDY DESIGN AND CLINICAL OUTCOMES
Keywords:
argon plasma coagulation, emergency surgery, parameter optimization, blood loss, postoperative complicationsAbstract
Objective: To evaluate the efficacy and safety of optimized argon plasma coagulation (APC) as a method of hemostasis and coagulative tissue treatment during emergency gynecologic interventions. Methods: A prospective comparative study was performed. The APC group (n=70) included operations using APC, while the control group (n=50) underwent surgery with conventional hemostatic techniques. Optimization of APC involved individualized selection of parameters: 35–50 W power, 1.5–2.0 L/min argon flow, and exposure up to 3 seconds with visual control of the coagulation zone. Outcomes assessed included operative time, blood loss, complication rate, pain intensity on the visual analogue scale (VAS), time to temperature normalization, and length of hospital stay. Results: Optimized APC reduced postoperative complications from 24.0% to 8.6%, decreased blood loss and pain severity, and shortened hospital stay without prolonging surgery.
References
1. Malyshkina A.I., Batrak N.V. Acute abdomen in gynecology: analysis of the structure of surgical interventions in various emergency conditions. Vestnik Ivanovskoy meditsinskoy akademii. 2021;26(3):44–47.
2. Chaves K.F., et al. Prevalence of and risk factors for emergency department visits after outpatient gynecologic surgery. Journal of Minimally Invasive Gynecology. 2023;30(1):19–24.
3. Kurbanova D.F., Badalova A.A. Argon plasma coagulation in the treatment of external genital endometriosis in women. Visnyk ukrainskoi medychnoi stomatolohichnoi akademii. 2021;21(3):69–74.
4. Mowat A., Maher C., Ballard E. Surgical outcomes for low-volume vs high-volume surgeons in gynecology surgery: a systematic review and meta-analysis. American Journal of Obstetrics and Gynecology. 2016;215(1):21–33.
5. Nahas S., Feigenberg T., Park S. Feasibility and safety of same-day discharge after minimally invasive hysterectomy in gynecologic oncology: a systematic review of the literature. Gynecologic Oncology. 2016;143:439–442. doi:10.1016/j.ygyno.2016.07.113.
6. O’Neill A.M., et al. The impact of enhanced recovery after gynaecological surgery: a systematic review and meta-analysis. Gynecologic Oncology. 2023;168:8–16.
