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.

Comparison of Ligasure Vessel Sealing System, Harmonic Scalpel, and Conventional Hemostasis in Total Thyroidectomy

2009 ◽  
Vol 141 (4) ◽  
pp. 496-501 ◽  
Author(s):  
Yoann Pons ◽  
Jérome Gauthier ◽  
Elsa Ukkola-Pons ◽  
Philippe Clément ◽  
Eric Roguet ◽  
...  
Keyword(s):  
Total Thyroidectomy ◽  
Harmonic Scalpel ◽  
Vessel Sealing System ◽  
Vessel Sealing ◽  
Ligasure Vessel Sealing System

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 Harmonic Scalpel versus Conventional Haemostasis in Neck Dissection: A Prospective Randomized Study

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Emanuele Ferri ◽  
Enrico Armato ◽  
Giacomo Spinato ◽  
Marcello Lunghi ◽  
Giancarlo Tirelli ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Postoperative Complications ◽  
Blood Loss ◽  
Hospital Stay ◽  
Neck Dissection ◽  
Operative Time ◽  
Harmonic Scalpel ◽  
Intraoperative Blood Loss ◽  
Bipolar Diathermy ◽  
Classic Technique

Purpose.The aim of this prospective randomized trial was to compare operative factors, postoperative outcomes, and surgical complications of neck dissection (ND) when using the harmonic scalpel (HS) versus conventional haemostasis (CH) (classic technique of tying and knots, resorbable ligature, and bipolar diathermy).Materials and methods.Sixty-one patients who underwent ND with primary head and neck cancer (HNSCC) resection were enrolled in this study and were randomized into two homogeneous groups: CH (conventional haemostasis with classic technique of tying and knots, resorbable ligature, and bipolar diathermy) and HS (haemostasis with harmonic scalpel). Outcomes of the study included operative time, intraoperative blood loss, drainage volume, postoperative pain, hospital stay, and incidence of intraoperative and postoperative complications.Results.The use of the HS reduced significantly the operating time, the intraoperative blood loss, the postoperative pain, and the volume of drainage. No significant difference was observed in mean hospital stay and perioperative, and postoperative complications.Conclusion.The HS is a reliable and safe tool for reducing intraoperative blood loss, operative time, volume of drainage and postoperative pain in patients undergoing ND for HNSCC. Multicenter randomized studies need to be done to confirm the advantages of this technique and to evaluate the cost-benefit ratio.

scholarly journals LigaSure vessel sealing system versus conventional tools in Milligan and Morgan Haemorrhoidectomy: A Randomized control trial.

2020 ◽  
Vol 27 (04) ◽  
pp. 746-751
Author(s):  
Manzoor Ahmed ◽  
Mukhtar Mehboob ◽  
Fida Ahmed ◽  
Saleem Javeed ◽  
Abdullah Khan ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Randomized Control Trial ◽  
Operative Time ◽  
Healing Time ◽  
Controlled Study ◽  
P Value ◽  
Vessel Sealing System ◽  
Vessel Sealing ◽  
Ligasure Vessel Sealing System ◽  
Randomized Control

Objectives: To evaluate the efficacy and safety of the LigaSure vessel sealing system in Milligan – Morgan Haemorrhoidectomy and compare to conventional tools. Study Design: Randomized control trial. Setting: Department of surgery Bolan University of Medical and Health Sciences at Sandeman (prov) Hospital Quetta. Period: January 2017 to June 2018. Material & Methods: Randomized controlled study designed for comparison was carried out. Total 86 patients of both gender had grade III and IV hemorrhoids were enrolled and randomly divided in two groups. LigaSure group and Conventional group. After obtained institutional permission and informed consent all patients were prepared for surgery as per unit protocol. Patients of both groups were evaluated for operative time, per operative bleeding, post-operative pain, hospital stay, wound healing time, and time return to work. Data collected and analyzed on SPSS version 20. Results: Total 86 patients enrolled for study 58 (66.4%) males and 28 (32.6%) females, age range 22-76 years. Patients randomly divided in LigaSure and conventional groups (43 in each group). Operative time and per operative bleeding was significantly less in LigaSure group as compared to conventional (P-Value, 0.001). Post-operative complications like pain and urine retention ware significantly less in LigaSure group (P-Value <0.001). Hospital stay, Healing time and return to routine life were significantly early in LigaSure group (p-Value <0.001). Conclusion: LigaSure sealing and cutting system is safe and effective tool in Milligan & Morgan Haemorrhoidectomy.

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