Harmonic scalpel hemorrhoidectomy versus bipolar diathermy hemorrhoidectomy – A prospective evaluation

2021 ◽  
Vol 4 (2) ◽  
pp. 39
Author(s):  
Shams Ul Bari ◽  
AjazAhmad Malik ◽  
AbidAziz Kangoo
Keyword(s):  
Harmonic Scalpel ◽  
Prospective Evaluation ◽  
Bipolar Diathermy

Comparison of lateral thermal spread using monopolar and bipolar diathermy, the Harmonic Scalpel™and the Ligasure™

2010 ◽  
Vol 97 (3) ◽  
pp. 428-433 ◽  
Author(s):  
P. A. Sutton ◽  
S. Awad ◽  
A. C. Perkins ◽  
D. N. Lobo
Keyword(s):  
Harmonic Scalpel ◽  
Bipolar Diathermy ◽  
Thermal Spread

Cold Knife Dissection and Bipolar Diathermy Vs Harmonic Scalpel in Parotid Gland Surgery for Benign Tumours

2020 ◽  
Vol 71 (2) ◽  
pp. 93-98
Author(s):  
Carlos Miguel Chiesa-Estomba ◽  
Ekhiñe Larruscain-Sarasola ◽  
Jose Angel González-García ◽  
Jon Alexander Sistiaga-Suarez ◽  
Xabier Altuna-Mariezcurrena
Keyword(s):  
Parotid Gland ◽  
Harmonic Scalpel ◽  
Bipolar Diathermy ◽  
Cold Knife ◽  
Benign Tumours

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 Harmonic scalpel versus bipolar diathermy in Milligan-Morgan haemorrhoidectomy: a randomized controlled study

2018 ◽  
Vol 5 (7) ◽  
pp. 2507
Author(s):  
Arnab Sarkar ◽  
Dilip B. Choksi ◽  
Akshay Sutaria ◽  
Minesh Sindhal
Keyword(s):  
Bowel Movement ◽  
Harmonic Scalpel ◽  
Controlled Study ◽  
Bipolar Diathermy ◽  
Ultrasonic Scalpel ◽  
Randomized Controlled ◽  
Pain Scores ◽  
Post Operative Pain ◽  
Significant Difference ◽  
One Year

Background: Post-operative pain and bleeding are two major dilemmas associated with haemorrhoidectomy. Recent advances in energy sources have provided an alternative in reducing both the issues. This study was conducted with an aim to compare use of ultrasonic scalpel (Harmonic Scalpel) and bipolar diathermy in reducing post-operative pain and bleeding in Milligan-Morgan haemorrhoidectomy (MMH).Methods: Sixty patients with grade III and IV haemorrhoids underwent MMH, after being randomized into two groups, one half of them using Harmonic Scalpel and other group, using Bipolar diathermy scissors over a period of one year at Department of General Surgery at Sir Sayajirao Gaekwad (SSG) Hospital, Baroda. Operative data were recorded, and the patients were followed-up accordingly. Independent assessors were assigned to obtain blood loss, post-operative pain scores, analgesic requirements and other secondary outcomes.Results: Intra-operative bleeding, post-operative pain scores and duration of hospital stay were significantly lower with Harmonic scalpel as compared to bipolar diathermy scissors. However, there was no significant difference in both the groups with respect to first bowel movement and early or late complications.Conclusions: Harmonic scalpel can be used as an alternative to bipolar diathermy, in view of its good haemostatic capability, reduced post-operative pain and analgesic requirements.

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