scholarly journals Ligasure Vessel sealing system Tonsillectomy versus Cold Knife Tonsillectomy: A study ofefficy and Adverse effcts

2017 ◽  
Vol 24 (1) ◽  
pp. 5-10
Author(s):  
Farhad Farahani ◽  
Mohammad Saeid Ahmadi ◽  
Zahra Abbasi ◽  
Javaneh Jahanshahi
2007 ◽  
Vol 137 (3) ◽  
pp. 385-389 ◽  
Author(s):  
Vassilios A. Lachanas ◽  
John K. Hajiioannou ◽  
George T. Karatzias ◽  
Dimitrios Filios ◽  
Stylianos Koutsias ◽  
...  

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.


2012 ◽  
Vol 126 (8) ◽  
pp. 815-817 ◽  
Author(s):  
N Fakhry ◽  
J Michel ◽  
L Santini ◽  
A Lagier ◽  
F Turner ◽  
...  

AbstractObjective:To evaluate the haemostatic efficacy and safety of the LigaSure vessel sealing system in major head and neck cancer surgery.Methods:This two-year, prospective study included 34 patients who underwent major head and neck cancer surgery at a university hospital. The LigaSure Precise handpiece and LigaSure 8 vessel sealing system were utilised as the primary means of haemostasis, except when sealing vessels larger than 7 mm in diameter. Surgical outcomes were evaluated. In addition, in each patient the diameter of the largest vein and artery sealed (all were >2 mm) was measured before sealing.Results:In all cases except one (33/34 patients), a sutureless technique was performed. Post-operative bleeding was observed in two cases. Thirty veins and 22 arteries were measured. The mean diameter of the largest sealed vein was 3.8 mm, while that of the largest sealed artery was 2.7 mm.Conclusion:Our experience indicates that the surgical technique described is safe and effective. The main advantages of the LigaSure system are that it simplifies the procedure and eliminates the need for clips and suture ligations.


2005 ◽  
Vol 131 (5) ◽  
pp. 413 ◽  
Author(s):  
Giuseppe Colella ◽  
Amerigo Giudice ◽  
Antonio Vicidomini ◽  
Pasquale Sperlongano

2009 ◽  
Vol 141 (4) ◽  
pp. 496-501 ◽  
Author(s):  
Yoann Pons ◽  
Jérome Gauthier ◽  
Elsa Ukkola-Pons ◽  
Philippe Clément ◽  
Eric Roguet ◽  
...  

2007 ◽  
Vol 84 (6) ◽  
pp. 2076-2079 ◽  
Author(s):  
Atilla Eroglu ◽  
Atila Turkyilmaz ◽  
Yener Aydin ◽  
Ali Fuat Erdem ◽  
Mahmut Tokur ◽  
...  

2005 ◽  
Vol 132 (3) ◽  
pp. 487-489 ◽  
Author(s):  
Vassilios A. Lachanas ◽  
Emmanuel P. Prokopakis ◽  
Antonios A. Mpenakis ◽  
Alexander D. Karatzanis ◽  
George A. Velegrakis

OBJECTIVES: To evaluate the role of Ligasure Vessel Sealing System (LVSS) (Valleylab, Boulder, CO) in thyroid surgery, with emphasis given to the duration of the procedure, as well as potential relevant postoperative complications. STUDY DESIGN AND SETTINGS: A prospective study was conducted from November 1, 2002 to October 31, 2003, on patients undergoing thyroid surgery with the use of LVSS device as the primary means of ligation. All patients' records were placed in a database. Efficacy of hemostasis, operation time, and postoperative complications were assessed. Results were compared with previous surgical procedures done by our team when the LVSS was not available. RESULTS: LVSS proved effective in providing ligation and hemostasis during thyroid surgery in 72 consecutive patients. There was a mean reduction in operating time of 23 minutes compared with previous surgical thyroid procedures. Transient hypocalcaemia occurred in 4 subjects (5.55%); one incidence of transient paresis of the recurrent laryngeal nerve was also observed. CONCLUSION: LVSS proved quite a reliable and safe device in thyroid surgery; it provided sufficient hemostasis and reducing operative time.


2006 ◽  
Vol 76 (9) ◽  
pp. 850-852 ◽  
Author(s):  
Patsy S. H. Soon ◽  
Michael W. Yeh ◽  
Mark S. Sywak ◽  
Stan B. Sidhu

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