New generation cut-and-seal devices in oral and oropharyngeal cancer resection: clinical and cost-effectiveness study

2017 ◽  
Vol 132 (4) ◽  
pp. 341-348
Author(s):  
G Tirelli ◽  
G C Del Piero ◽  
G Valentinuz ◽  
A Monte ◽  
A Gatto ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Oropharyngeal Cancer ◽  
Historical Cohort ◽  
Cancer Resection ◽  
Vessel Sealing ◽  
Oral And Oropharyngeal Cancer ◽  
Ultrasonic Shears ◽  
Cold Knife ◽  
Bipolar Vessel Sealing ◽  
Bipolar Vessel

AbstractObjectives:To evaluate the clinical efficacy and cost-effectiveness of ultrasonic shears and the electrothermal bipolar vessel sealing system, in comparison to the traditional cold knife and bipolar forceps, in oral and oropharyngeal cancer surgery.Methods:Patients who underwent oral or oropharyngeal cancer resection and neck dissection with either ultrasonic shears (n= 36) or electrothermal bipolar vessel sealing (n= 32) were enrolled. Surgical time, intra-operative bleeding, blood drainage, post-operative pain, neck oedema, complications and hospitalisation duration were compared to those of an historical cohort of 36 patients treated using a cold knife and bipolar forceps. Additionally, a cost-effectiveness evaluation was performed.Results:Ultrasonic shears and, in particular, electrothermal bipolar vessel sealing, were advantageous compared to the traditional techniques. The cost of ultrasonic shears and electrothermal bipolar vessel sealing was completely offset by declining time-driven costs for the surgical team and operating theatre.Conclusion:Ultrasonic shears and, in particular, electrothermal bipolar vessel sealing, are more advantageous compared to the traditional techniques, from both a clinical and economic point of view.

scholarly journals Ultrasonic shears and bipolar vessel-sealing system for three-port laparoscopic ovariohysterectomy in dogs

2015 ◽  
Vol 67 (1) ◽  
pp. 55-61 ◽  
Author(s):  
N. Guizzo-Júnior ◽  
J.P.S. Feranti ◽  
M.C. Bairros ◽  
M. Bortoluzzi ◽  
A.C. Motta ◽  
...  
Keyword(s):  
Ultrasonic Scalpel ◽  
Uterine Arteries ◽  
Vessel Sealing ◽  
Surgery Patient ◽  
Specimen Retrieval ◽  
Duration Of Surgery ◽  
Ultrasonic Shears ◽  
Arteries And Veins ◽  
Bipolar Vessel Sealing ◽  
Bipolar Vessel

In the current experimental study, two different instruments were compared for prophylactic hemostasis during a 3-port technique of laparoscopic ovariohysterectomy (OVH) in bitches. Moreover, the need for port enlargement for specimen retrieval using 5mm or 10mm trocartes, technical difficulties and complications were assessed. Ultrasonic energy and a vascular sealing system were tested. Duration of surgery, patient weight and diameter of the uterine arteries and veins were compared among the groups. Fifteen dogs randomly divided into three groups (GI, GII, GIII) were submitted to ovariohysterectomy with hemostasis from the use of ultrasonic scalpel or vascular sealing equipment. In GI and GII the LigaSure(tm)impedance-controlled bipolar vessel-sealing device was used, differing in the size of trocartes used between groups, and in GIII Autosonix(tm) was used. Patients' weight, duration of surgery, technical difficulties and complications were compared among the groups. Statistical analysis showed no difference between the data analyzed among the groups. In conclusion, both methods of hemostasis were effective for 3-port total laparoscopic ovariohysterectomy in bitches. However, 5mm trocartes were not adequate for retrieval of the uterus and ovaries without need for enlargement of the port incision.

scholarly journals Electrosurgical bipolar vessel sealing versus conventional clamping and suturing for total abdominal hysterectomy

2021 ◽  
Vol 38 (1) ◽  
Author(s):  
Mustafa Ulubay ◽  
Mehmet Ferdi Kıncı ◽  
Ramazan Erda Pay ◽  
Murat Dede
Keyword(s):  
Operation Time ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Intraoperative Blood Loss ◽  
Incision Length ◽  
Vessel Sealing ◽  
Significant Difference ◽  
Duration Of Hospitalization ◽  
Bipolar Vessel Sealing ◽  
Bipolar Vessel

Objectives: To compare the use of Electrosurgical bipolar vessel sealing LigaSure™ small jaw instrument (LSJI) with conventional suture ligation in total abdominal hysterectomy (TAH). Methods: In this retrospective study 80 patients who underwent hysterectomy in the Gynecology and Obstetrics Department of Gulhane Education and Research Hospital between April 2017 and August 2018 were included. Two different groups that underwent Electrosurgical bipolar vessel sealing LigaSure™ small jaw instrument (LSJI) and conventional suture ligation in hysterectomy operation were analyzed retrospectively. The parameters evaluated and compared between the two groups include operation time, intraoperative blood loss, duration of hospitalization and incision length. Results: Among the parameters we compared between the two groups, there was no statistically significant difference between the amount of intraoperative blood loss (p:0.68) and the incision length (p:0.65). Among the parameters we compared between the two groups, a statistically significant difference was observed between the operation time (p:0.016) and the duration of hospitalization (p:0.01). Conclusion: Our comparison of LSJI vs. conventional ligation in hysterectomy revealed a significant difference only in operative time, where surgeries involving conventional ligation were shorter. On the other hand, incision length was evaluated in our study which has not been addressed in previous studies. There is also a need for multi-center studies that include more patients and evaluate cost-effectiveness. doi: https://doi.org/10.12669/pjms.38.1.4197 How to cite this:Ulubay M, Kinci MF, Pay RE, Dede M. Electrosurgical bipolar vessel sealing versus conventional clamping and suturing for total abdominal hysterectomy. Pak J Med Sci. 2022;38(1):---------. doi: https://doi.org/10.12669/pjms.38.1.4197 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Electrothermal Bipolar Vessel Sealing System vs. Harmonic Scalpel in Colorectal Laparoscopic Surgery

2009 ◽  
Vol 52 (4) ◽  
pp. 657-661 ◽  
Author(s):  
Roberto Rimonda ◽  
Alberto Arezzo ◽  
Corrado Garrone ◽  
Marco Ettore Allaix ◽  
Giuseppe Giraudo ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Harmonic Scalpel ◽  
Vessel Sealing System ◽  
Vessel Sealing ◽  
Bipolar Vessel Sealing ◽  
Bipolar Vessel

The Nightknife©: Evaluation of Efficiency and Quality of Bipolar Vessel Sealing

2011 ◽  
Vol 21 (7) ◽  
pp. 659-663 ◽  
Author(s):  
Jochen Schuld ◽  
Jens Sperling ◽  
Otto Kollmar ◽  
Michael D. Menger ◽  
Martin K. Schilling ◽  
...  
Keyword(s):  
Vessel Sealing ◽  
Bipolar Vessel Sealing ◽  
Bipolar Vessel

Comparative analysis between a bipolar vessel sealing and cutting device and the tie and suture technique in thyroidectomy: A randomized clinical trial

Surgery ◽  
2017 ◽  
Vol 161 (2) ◽  
pp. 477-484 ◽  
Author(s):  
K. Verónica Chavez ◽  
E. Manuel Barajas ◽  
Jaqueline Ramírez ◽  
Juan Pablo Pantoja ◽  
Mauricio Sierra ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Comparative Analysis ◽  
Randomized Clinical Trial ◽  
Suture Technique ◽  
Vessel Sealing ◽  
Bipolar Vessel Sealing ◽  
Bipolar Vessel
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