Evaluation of Safety and Efficacy of Harmonic Scalpel During Laparoscopic Cholecystectomy | ||
| Zagazig University Medical Journal | ||
| Article 589, Volume 29, Issue 1.2, January 2023, Pages 246-253 PDF (375.08 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2020.46297.1970 | ||
| Authors | ||
| Mohamad Ali Salem* 1; Khaled Safwat Fahmi2; Abdelrahman Mohamed Amin Sarhan3; Fady Mehaney Habib4; Ahmed M. Sallam2 | ||
| 1Department of General Surgery, Al Mergeb University, Libyaز | ||
| 2Department of General Surgery, Zagazig University hospitals, Zagazig, Egypt | ||
| 3Department of surgery, Faculty of medicine, Zagazig university, Zagazig, Egypt | ||
| 4Department of General Surgery, Zagazig University hospitals, Zagazig, Egypt. | ||
| Abstract | ||
| Background: Laparoscopic cholecystectomy is the “gold standard” in the treatment of symptomatic gallbladder lithiasis. Nevertheless, some pitfalls are associated with the use of the monopolar hook, such as the risk of thermal injuries and biliary complications. By contrast, the ultrasonically activated scalpel, ie, Harmonic (Ethicon Endo Surgery INC- Johnson & Johnson Medical SPA, Somerville, NJ) in laparoscopic cholecystectomies has been increasingly used for dissection of the gallbladder and for division of vessels and the cystic duct, because it reduces the risk of thermal injuries. This study aimed achieving safe closure and prevention of post-operative complications by using harmonic Scalpel. Patients and methods: This Clinical trial study was carried out in Zagazig university hospital .It included 24 patients with uncomplicated gallstone diseases who attended to general surgery department outpatients clinic. All patients included in this study were diagnosed to be uncomplicated gallstone disease patients. Patients were operated within 6 months duration in Zagazig University Hospital, during the period from Feb 2020 to Aug 2020. All patients were subjected to Demographic data taking, complete clinical examination, Laboratory investigations and Abdominal ultrasound. Results: Neither major complications regarding the gallbladder perforation nor bile duct injuries were detected, there were no post-operative complications, However, the mean operative time was significantly shorter. Conclusion: Harmonic scalpel in general is an efficient tool for complete hemobiliary sealing with high safety profile. | ||
| Keywords | ||
| Laparoscopic cholecystectomy; Ultrasound; Harmonic Scalpel; Gallstones | ||
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