Minimizing intraoperative bleeding using a vessel-sealing system and splenic hilum hanging maneuver in laparoscopic splenectomy

2009 ◽  
Vol 16 (6) ◽  
pp. 786-791 ◽  
Author(s):  
Takeyuki Misawa ◽  
Kazuhiko Yoshida ◽  
Tomonori Iida ◽  
Taro Sakamoto ◽  
Takeshi Gocho ◽  
...  
Keyword(s):  
Laparoscopic Splenectomy ◽  
Intraoperative Bleeding ◽  
Splenic Hilum ◽  
Vessel Sealing System ◽  
Vessel Sealing ◽  
Hanging Maneuver

Comparison of LigaSure Vessel Sealing System, Harmonic Scalpel, and Cold Knife Tonsillectomy

2007 ◽  
Vol 137 (3) ◽  
pp. 385-389 ◽  
Author(s):  
Vassilios A. Lachanas ◽  
John K. Hajiioannou ◽  
George T. Karatzias ◽  
Dimitrios Filios ◽  
Stylianos Koutsias ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Blood Loss ◽  
Operative Time ◽  
Harmonic Scalpel ◽  
Complication Rates ◽  
Intraoperative Bleeding ◽  
Vessel Sealing System ◽  
Vessel Sealing ◽  
Ligasure Vessel Sealing System ◽  
Cold Knife

OBJECTIVE: We sought to compare LigaSure Vessel Sealing System tonsillectomy (LT), Harmonic Scalpel tonsillectomy (HST), and cold knife tonsillectomy (CKT). STUDY DESIGN: We conducted a prospective study on 161 adult patients undergoing tonsillectomy. Subjects were randomized to LT, HST, or CKT groups, and intraoperative bleeding, operative time, postoperative pain, and complication rates were assessed. RESULTS: The LT, HST, and CKT groups consisted of 50, 43, and 37 individuals, respectively. Intraoperative bleeding was significantly lower in the LT group, whereas bleeding in the HST group was significantly lower than that in the CKT group. Operative time and postoperative pain were significantly lower in the LT and HST groups. One primary hemorrhage occurred in the HST group, and one occurred in he CKT group. Secondary hemorrhage occurred in one, two, and one patients in the LT, HST, and CKT groups, respectively. CONCLUSION: LT and HST have shown comparable results regarding intraoperative blood loss, postoperative hemorrhage, and pain. Compared with CKT, both were associated with less intra-operative blood loss and pain.

scholarly journals Stapleless Laparoscopic Splenectomy Using Harmonic Scalpel by 2-Step Sealing

2013 ◽  
Vol 98 (4) ◽  
pp. 385-387 ◽  
Author(s):  
Shuichi Fujioka ◽  
Kazuhiko Yoshida ◽  
Tomoyoshi Okamoto ◽  
Katsuhiko Yanaga
Keyword(s):  
Laparoscopic Splenectomy ◽  
Alternative Energy ◽  
Operative Time ◽  
Harmonic Scalpel ◽  
Energy Device ◽  
Vessel Sealing System ◽  
The Third ◽  
Vessel Sealing ◽  
Ligasure Vessel Sealing System ◽  
Splenic Pedicle

Abstract Laparoscopic splenectomy (LS) has been accepted as a safe and effective procedure as compared with open splenectomy. Recently, there have been a few reports on the LigaSure vessel sealing system as an alternative hemostasis to clip ligation. Here we report the experience of LS using an alternative energy device, Harmonic Scalpel laparoscopic coagulating shears (LCS). Preliminary experience of LS with LCS for a patient with idiopathic thrombocytopenic purpura (ITP) is reported. Generally, two-step sealing with LCS was used for vessels of the splenic pedicle approximately 5 mm in diameter without using the Endo-GIA stapler. Operative time was 93 minutes, and blood loss was 40 mL. The patient was discharged on the third postoperative day with no intraoperative or postoperative complications. The LS with LCS was performed safely using two-step sealing. Further experience is necessary to verify the safety of this procedure.

scholarly journals Reduction of Intraoperative Bleeding in Diffuse Plexiform Neurofibroma Resection Using the LigaSure Vessel Sealing System

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Akiko Yoshinaga ◽  
Itaru Tsuge ◽  
Daisuke Yoshinaga ◽  
Shuichi Ogino ◽  
Michiharu Sakamoto ◽  
...  
Keyword(s):  
Plexiform Neurofibroma ◽  
Intraoperative Bleeding ◽  
Vessel Sealing System ◽  
Vessel Sealing ◽  
Ligasure Vessel Sealing System

scholarly journals Laparoscopic splenectomy using bipolar vessel sealing system

2015 ◽  
Vol 57 (1) ◽  
pp. 10-14
Author(s):  
Aws Kh. Jassim ◽  
◽  
Fareed A. Turkey ◽  
Ahmed A. Ibraheem ◽  
◽  
...  
Keyword(s):  
Laparoscopic Splenectomy ◽  
Vessel Sealing System ◽  
Vessel Sealing ◽  
Bipolar Vessel Sealing ◽  
Bipolar Vessel
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