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https://www.readbyqxmd.com/read/28017260/comparison-of-dissection-with-harmonic-scalpel-and-conventional-bipolar-electrocautery-in-deep-inferior-epigastric-perforator-flap-surgery-a-consecutive-cohort-study
#1
Yoon Jae Lee, Hak Young Kim, Hyun Ho Han, Suk-Ho Moon, Jun Hee Byeon, Jong Won Rhie, Sang Tae Ahn, Deuk Young Oh
Reduced tissue damage is a theoretical advantage of using an ultrasonic harmonic scalpel. We hypothesized that the harmonic scalpel would outperform electrocautery in deep inferior epigastric perforator flap surgery, possibly resulting in a shorter operative time and reduced postoperative drainage and pain. Between January and August 2015, 24 consecutive patients were assigned to immediate deep inferior epigastric perforator flap elevation (12 for bipolar electrocautery and 12 for harmonic scalpel). The main outcome variables were total operative time, flap elevation time (starting from the fascia incision), and drainage volume...
November 20, 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28010943/neck-dissection-with-harmonic-scalpel-and-electrocautery-a-randomised-study
#2
Roshan K Verma, Arulalan Mathiazhagan, Naresh K Panda
OBJECTIVE: Is the use of harmonic scalpel for neck dissection useful? Literature search did not show a single, prospective, randomised control trial. We intended to study the role of harmonic scalpel in neck dissection and compare it with conventional electrocautery technique for oral cavity carcinoma. METHODS: 40 patients undergoing selective neck dissection for primary oral cavity malignancy were enrolled in this study. The harmonic scalpel (HS) group consisted of 20 patients, and the electrocautery technique (ET) group comprised of 20 patients...
December 20, 2016: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/27989246/cervicofacial-emphysema-following-harmonic-scalpel-tonsillectomy-case-report-and-comprehensive-review-of-the-literature
#3
R A Crosbie, T Kunanandam
BACKGROUND: Tonsillectomy is one of the most common surgical procedures performed worldwide. There are a handful of common complications, with bleeding being the most feared; however, rarer complications can present to a wide range of medical professionals. METHODS: A 12-year-old girl presented with cervicofacial emphysema following tonsillectomy. This paper discusses the case and the management adopted, and presents the findings of a comprehensive literature review...
December 19, 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27941961/therapeutic-effects-of-bipolar-coagulation-forceps-on-open-thyroid-surgery
#4
Lei Su, Jiayong Li, Xiaoqiao Tang, Jianfeng Sang
BACKGROUND: The aim was to compare the therapeutic effects of bipolar coagulation forceps, harmonic scalpel, and conventional thyroidectomy on open thyroid surgery. METHODS: A total of 527 patients who received open thyroid surgery in the Affiliated Drum Tower Hospital of Nanjing University Medical School between February 2013 and February 2016 were randomly divided into three groups: bipolar coagulation forceps, harmonic scalpel, and conventional thyroidectomy...
September 2016: Revista de Investigación Clínica; Organo del Hospital de Enfermedades de la Nutrición
https://www.readbyqxmd.com/read/27909273/-minimally-invasive-coronary-artery-bypass-grafting-using-bilateral-in-situ-internal-thoracic-arteries
#5
Akihiko Yamauchi, Masaki Tabuchi, Shinya Terada, Keita Kikuchi
A 73-year-old male with diabetes mellitius was referred to our hospital for coronary artery bypass grafting (CABG). Preoperative coronary angiography revealed three-vessel coronary disease. Minimally invasive coronary artery grafting (MICS CABG) via left thoracotomy was selected to decrease surgical site infection due to severe diabetes. In situ bilateral internal thoracic arteries (BITA) were harvested using a long type Harmonic scalpel. In situ right internal thorac artery( RITA)-left anterior descending artery (LAD), in situ left internal thorac artery( LITA)-high lateral branch (HL), and aorta-saphenous vein graft (SVG)-#4 posterior descending artery were performed...
December 2016: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://www.readbyqxmd.com/read/27905366/-experience-of-transaxillary-endoscopic-thyroid-surgery
#6
V K Lyadov, M V Neklyudova, D R Pashaeva
AIM: To compare the outcomes after open and endoscopic interventions on thyroid gland. MATERIAL AND METHODS: We have retrospectively analyzed 158 interventions on thyroid gland for the period March 2014 - January 2016. Herewith, 21 interventions were performed endoscopically with transaxillary removal of specimen. RESULTS: The study was designed in 2 groups - main (endoscopic surgery) and control (open surgery). There were 2 complications in the main group: intraoperative injury of cricoid cartilage by harmonic scalpel and unilateral subcutaneous emphysema of the neck and face...
2016: Khirurgiia
https://www.readbyqxmd.com/read/27891393/day-care-vs-overnight-stay-after-laparoscopic-cholecystectomy-even-with-co-morbidity-and-a-possible-second-surgery-a-patient-s-choice
#7
Aswini Kumar Pujahari
INTRODUCTION: Laparoscopic Cholecystectomy (LC) has become the gold standard for symptomatic gall stone disease. It is being practiced as a day care procedure in healthy individuals in American Society of Anaesthesialogists (ASA) grade I and II. It is not yet established in presence of co-morbidity and when a second surgery is added. In most of the study, patient's choice and the psycho-social factors were not considered in deciding the day care procedure. AIM: To find the safety of LC and a second surgery as day care in presence of compensated co-morbidity...
October 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27821144/harmonic-scalpel-impact-on-blood-loss-and-operating-time-in-major-head-and-neck-surgery-a-randomized-clinical-trial
#8
Dieter K Fritz, T Wayne Matthews, Shamir P Chandarana, Steven C Nakoneshny, Joseph C Dort
BACKGROUND: Long operating time and high blood loss contribute to post-surgical morbidity. Therefore, strategies to reduce these factors should to be tested using robust methods. The purpose of this study was to evaluate the impact of using the harmonic scalpel on operating time and blood loss in patients undergoing resection for advanced oral cancer (OSCC). METHODS: Thirty-six adult head and neck cancer patients with advanced OSCC requiring primary tumor resection with uni- or bi- lateral selective neck dissection from July 2012 to September 2014 were randomized to either the control group (traditional surgery) or the experimental group (harmonic surgery)...
November 8, 2016: Journal of Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/27798785/spray-diathermy-versus-harmonic-scalpel-technique-for-hepatic-parenchymal-transection-of-living-donor
#9
Mohamed El Shobary, Tarek Salah, Ayman El Nakeeb, Ahmad M Sultan, Ahmed Elghawalby, Omar Fathy, Mohamed Abdel Wahab, Amro Yassen, Mohamed Elmorshedy, Wagdi F Elkashef, Usama Shiha, Mohamed Elsadany
BACKGROUND: Liver parenchymal transection is the most invasive and challenging part in the living donor operation. The study was planned to compare the safety, efficacy, and outcome of harmonic scalpel versus spray diathermy as a method of parenchymal liver transection in donor hepatectomy. PATIENT AND METHOD: Eighty consecutive patients, who were treated by living donor liver transplantation (LDLT), were included in the study. The study population was divided into two groups according to the method of liver transection: group A by harmonic scalpel (HS) and group B by spray diathermy (SD)...
October 31, 2016: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/27735177/harmonic-scalpel-tonsillectomy
#10
(no author information available yet)
No abstract text is available yet for this article.
May 2016: Clinical Privilege White Paper
https://www.readbyqxmd.com/read/27688117/comparison-of-spinal-accessory-dysfunction-following-neck-dissection-with-harmonic-scalpel-and-electrocautery-a-randomized-study
#11
Arulalan Mathialagan, Roshan K Verma, Naresh K Panda
INTRODUCTION: Harmonic scalpel is being increasingly used in neck dissection as alternative to conventional electro-cautery for achieving haemostasis. Use of harmonic scalpel has been shown to significantly reduce intra operative blood loss and intra operative time in neck dissection. But how safe is it with regards to nerve injury (spinal accessory nerve and other nerves) during neck dissection. We intended to study the spinal accessory nerve injury during neck dissection by both harmonic scalpel and electro cautery technique and compared postoperative recovery of shoulder function after neck dissection...
October 2016: Oral Oncology
https://www.readbyqxmd.com/read/27649653/study-on-the-use-of-focus-harmonic-scalpel-in-thyroidectomies-is-it-useful-also-in-preserving-voice-function
#12
A Minni, D Rosati, C Cavaliere, A De Carlo, G Illuminati, V Scarano Catanzaro, M Bodoni
OBJECTIVE: The aim of this randomized study is to evaluate the real benefits of the FOCUS Harmonic Scalpel in total thyroidectomies compared with conventional ligation, regarding operative time, postoperative blood loss, length of stay and complications. Furthermore, as never seen in other studies, we studied the effects of using the FOCUS during thyroidectomy analyzing the vocal production of patients before and after surgery. PATIENTS AND METHODS: We enrolled 361 patients who underwent total thyroidectomy from 2008 to 2014...
September 2016: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/27611880/results-of-a-tailored-approach-to-zenker-s-diverticulum-a-single-va-experience
#13
George Orthopoulos, Brad S Oriel, C Jeff Siegert, Abraham Lebenthal, John Gooey, P Marco Fisichella
The transoral division of the esophageal-diverticula septum with a linear stapler, with CO2 laser, or with harmonic scalpel under rigid endoscopy has revolutionized the surgical management of Zenker's diverticula. Nevertheless, the open approach still plays a role in select cases. Our goals are to illustrate the techniques and the results of our tailored approach to the surgical management of Zenker's diverticula in U.S. veterans.
October 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27579242/free-flap-elevation-times-in-head-and-neck-reconstruction-using-the-harmonic-scalpel-shears
#14
Joshua J DeSerres, Brittany R Barber, Hadi Seikaly, Jeffrey R Harris, Daniel A O'Connell
Free tissue transfer has become the mainstay of head and neck cancer (HNC) reconstructive surgery. The objective of the study is to examine the efficacy of the Harmonic Scalpel (HS) Shears on free flap elevation time and complication rates after HNC reconstruction compared with traditional electrocautery. A retrospective review of 215 HNC patients undergoing surgical ablation and free flap reconstruction from January 2010 to April 2013 at the University of Alberta Hospital was undertaken. All patients requiring free flap reconstruction with radial forearm free flap or fibula free flap were included...
May 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27547026/harmonic-scalpel-versus-monopolar-electrocauterization-in-cholecystectomy
#15
Guanqun Liao, Shunqian Wen, Xueyi Xie, Qing Wu
BACKGROUND AND OBJECTIVES: Laparoscopic cholecystectomy (LC) using surgical electrocautery is considered to be the gold standard procedure for the treatment of uncomplicated cholecystitis and cholelithiasis. The objective of the current study was to evaluate the effectiveness and safety of the Harmonic scalpel, an advanced laparoscopic technique associated with less thermal damage in LC, when compared to electrocautery. METHODS: From October 2010 through June 2013, a total of 198 patients were randomly allocated to LC with a Harmonic scalpel (experimental group, 117 patients) or conventional monopolar electrocautery (control group, 81 patients)...
July 2016: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/27467747/laparoscopic-partial-splenectomy-a-preferred-method-for-select-patients
#16
HuiHua Cai, Yong An, Di Wu, XueMin Chen, Yue Zhang, Feng Zhu, Yong Jiang, DongLin Sun
BACKGROUND: The purpose of this study was to explore the feasibility and safety of laparoscopic partial splenectomy (LPS) using a harmonic scalpel (HS) combined with bipolar coagulation. MATERIALS AND METHODS: Using HS and bipolar coagulation technology, 18 patients suffering from splenic cystic neoplasm were treated with LPS between January 2010 and December 2014, and their clinical data were analyzed retrospectively. RESULTS: LPS was performed successfully without conversion to open surgery in all cases...
December 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27446546/harmonic-versus-ligasure-hemostasis-technique-in-thyroid-surgery-a-meta-analysis
#17
Arun Upadhyaya, Tianpeng Hu, Zhaowei Meng, Xue Li, Xianghui He, Weijun Tian, Qiang Jia, Jian Tan
Harmonic scalpel and LigaSure vessel sealing systems have been suggested as options for saving surgical time and reducing postoperative complications. The aim of the present meta-analysis was to compare surgical time, postoperative complications and other parameters between them in for the open thyroidectomy procedure. Studies were retrieved from MEDLINE, Cochrane Library, EMBASE and ISI Web of Science until December 2015. All the randomized controlled trials (RCTs) comparing Harmonic scalpel and LigaSure during open thyroidectomy were selected...
August 2016: Biomedical Reports
https://www.readbyqxmd.com/read/27440014/-surgical-results-of-minimally-invasive-coronary-artery-bypass-grafting
#18
Keita Kikuchi
INTRODUCTION: We report our clinical results of off-pump minimally invasive coronary artery bypass grafting( MICS CABG) under direct vision as our initial experience. SURGERY: An 8-10 cm incision was made in the left 4-5th intercostal space (ICS). Bilateral internal thoracic artery (BITA) were harvested under direct vision with the use of 32 cm Harmonic scalpel through the surgical port. And the right lung is displaced by a tissue stabilizer via subxiphoid incision...
July 2016: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://www.readbyqxmd.com/read/27374649/laparoscopic-liver-resection-initial-experience-in-a-north-african-single-center
#19
Amine Benkabbou, Amine Souadka, Badr Serji, Hajar Hachim, Hadj Omar El Malki, Raouf Mohsine, Lahssan Ifrine, Abdelkader Belkouchi
BACKGROUND: Over past decades laparoscopic liver resection (LLR) has gained wide acceptance among hepatobiliary surgeons community. To date, few data are available concerning LLR programs in developing countries. This study aimed to assess feasibility and safety of LLR in a Moroccan surgical unit. METHODS: From June 2010 to February 2013, patients that received LLR were identified from a prospective "liver resection" database and included in this study. Parenchymal transection was performed using Harmonic scalpel and bipolar clamp with no Intraoperative ultrasound use or systematic pedicle clamping...
August 2015: La Tunisie Médicale
https://www.readbyqxmd.com/read/27354833/thyroid-surgery-with-a-harmonic-scalpel-an-experimental-study
#20
Didier Dequanter, Martin Lammens, Nathalie Nagy, Mohammad Shahla, Yasmine Deniz, Christine Aubert, Youri Vanhemelrijck, Philippe Lothaire
BACKGROUND: The goal of the study was to determinate the safety of the harmonic scalpel, widely used in thyroidectomy, near the recurrent laryngeal nerve (RLN). METHODS: The study involved ten pigs of either sex. Twenty RLNs at risk were dissected using the new harmonic scalpel FOCUS. The distances between the nerve and the activated instrument were checked with a millimeter ruler. After dissection, the pigs were euthanized, and both RLNs were fixed in formol and examined by histology after staining with hematoxylin-eosin...
2016: Medical Devices: Evidence and Research
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