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.

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 Laparoscopic transabdominal preperitoneal inguinal repair versus open Lichtenstein repair: a randomized control trial

2017 ◽  
Vol 5 (1) ◽  
pp. 77
Author(s):  
Darshan A. Manjunath ◽  
Umeshchandra D. Gurugunti ◽  
Veerabhadra Radhakrishna
Keyword(s):  
Hernia Repair ◽  
Hospital Stay ◽  
Randomized Control Trial ◽  
Operative Time ◽  
Preperitoneal Repair ◽  
Lichtenstein Repair ◽  
Transabdominal Preperitoneal ◽  
Operative Complications ◽  
The Mean ◽  
Randomized Control

Background: There have been a plenty of evolution in surgical techniques of hernia repair. The current standard technique is tension-free repair. The different studies show different results with the use of laparoscopy in performing tension-free hernia repair. Hence a study was conducted to compare the laparoscopic transabdominal preperitoneal repair with open Lichtenstein repair regarding operative complications, pain, analgesic usage, and time to return to normal activities.Methods: A randomized control trial was conducted in the Department of General Surgery in a tertiary center from December 2010 to May 2012. All patients underwent either open Lichtenstein repair or laparoscopic transabdominal preperitoneal repair (TAPP). Both the procedures included a recording of operative time, operative complications, pain, analgesic usage, hospital stay, surgical site infection (SSI), and time to return to normal activities. Mann Whitney U test, student ‘t’ test and Fisher’s exact test were used to study the significance of the difference. A p-value <0.05 was considered significant.Results: The open Lichtenstein procedure was found to have a significantly less operative time compared to TAPP procedure (54±15 minutes vs. 75.7±31.6 minutes; p=0.001; CI=95%; Mann Whitney ‘U’ test). TAPP group had a significantly low pain at 12hrs and 24hrs postoperatively. There was no difference between the TAPP group and Lichtenstein group regarding the mean hospital stay (37.2±12.1 hours vs. 38.2±13.6 hours; p=0.7; CI=95%; Mann Whitney ‘U’ test). The mean time to return to work was 12.1±11.8 days in TAPP group, which was significantly lesser than the Lichtenstein group (20.9±4 days; p= 0.04; CI=95%; student ‘t’ test). No recurrence was found.Conclusions: Laparoscopic TAPP was a safe and effective procedure for inguinal hernia repair, and it can replace open procedure.

B Lynch Suture and Intrauteribne Balloon Tamponade for Management of Severe Postpartum Hemorrhage: A Comparative Study

2021 ◽  
Vol 15 (9) ◽  
pp. 2948-2951
Author(s):  
Mehwish Syed ◽  
Afrah Aman ◽  
Saeeda Safi ◽  
Rabia Nawaz ◽  
Asia Habib ◽  
...  
Keyword(s):  
Success Rate ◽  
Gestational Age ◽  
Postpartum Hemorrhage ◽  
Randomized Control Trial ◽  
P Value ◽  
Bleeding Control ◽  
Balloon Tamponade ◽  
Group I ◽  
Randomized Control ◽  
Group Ii

Objective: The aim of this study is to compare the effectiveness of intrauterine balloon tamponade and B lynch suture for management of severe postpartum hemorrhage. Study Design: Randomized Control trial Place and Duration: The study was conducted at Gynae & Obs department of Qazi Hussain Ahmad Medical Complex, Nowshera KPK for six months duration from January to 2021 to June 2021. Methods: There were one hundred and twenty patients with ages 20-45 years were presented in this study. All women had severe postpartum hemorrhage were included in this study. Demographically detailed of enrolled cases age, body mass index, gestational age and parity were recorded after taking informed written consent. Patients were equally divided into 2-groups I and II. Group I had 60 patients and received Lynch suture while in group II 60 patients received intrauterine balloon tamponade. Post-operative success rate among both groups were assessed and compared in terms of bleeding control within 10-15 minutes. SPSS 24.0 version was used to analyze the complete data. Results: In group I mean age was 29.09±2.53 years with mean BMI 25.11±7.64 kg/m2 while in group II mean age was 29.02±3.62 years with mean BMI 24.87±6.32 kg/m2. Mean gestational age in group I was 37.87±3.29 weeks and in group II mean gestational age was 38.19±6.41 weeks. Mean parity in group I was 4.03±1.19 and in group II it was 4.01±0.87. Frequency of success rate in group I was significantly higher among 54 (90%) cases as compared to group II 39 (65%) with p value < 0.05. We found that patients of group I was significantly satisfied than that of patients who received intrauterine balloon tamponade. Conclusion: In this research we concluded that lynch suture for the management of severe postpartum hemorrhage among females had higher effectiveness in terms of bleeding control within 15 minutes and with higher satisfaction among patients as compared to those females who received intrauterine balloon tamponade. Keywords: Postpartum hemorrhage, Lynch Suture, intrauterine balloon tamponade, Success Rate

Utility of the LigaSure vessel sealing system during major head and neck cancer surgery

2012 ◽  
Vol 126 (8) ◽  
pp. 815-817 ◽  
Author(s):  
N Fakhry ◽  
J Michel ◽  
L Santini ◽  
A Lagier ◽  
F Turner ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Cancer Surgery ◽  
University Hospital ◽  
Sutureless Technique ◽  
Vessel Sealing System ◽  
Vessel Sealing ◽  
Ligasure Vessel Sealing System ◽  
Primary Means

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.

scholarly journals Usefulness of the LigaSure Vessel Sealing System During Superficial Lobectomy of the Parotid Gland

2005 ◽  
Vol 131 (5) ◽  
pp. 413 ◽  
Author(s):  
Giuseppe Colella ◽  
Amerigo Giudice ◽  
Antonio Vicidomini ◽  
Pasquale Sperlongano
Keyword(s):  
Parotid Gland ◽  
Vessel Sealing System ◽  
Vessel Sealing ◽  
Ligasure Vessel Sealing System
Sign in / Sign up

Export Citation Format

Share Document