The bipolar sealer is an effective coagulation alternative for electrosurgery procedures, reducing blood loss and transfusion requirements without affecting outcome. It appears to reduce tissue damage and smoke production in comparison with standard electrocautery. Total blood loss in the bipolar sealer group is decreased by 40% and transfusions were reduced by 73%. There is a significant reduction in the intra - and postoperative blood loss, p = 0.002 and p = 0.001, respectively. Experimental results found even in patients with demographic characteristics associated with a higher risk of blood-related complications.