Laparoscopic Cholecystectomy for the Dissection of Gall Bladder: A Comparative Study of Harmonic versus Electrocautery
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 3
Abstract
Introduction: Laparoscopic cholecystectomy is the revolutionary new method for the treatment of gallstone disease and has now become the gold standard for the surgical treatment of symptomatic cholelithiasis. The ultrasonically activated (Harmonic) scalpel was designed as a safe alternative to electrocautery for the hemostatic dissection of tissues. This comparative study was undertaken to exhibit the effectiveness and safety of the harmonic scalpel over traditional electrocautery to achieve complete dissection and hemostasis at laparoscopic cholecystectomies. Materials and Methods: This was a prospective comparative study. Patients were randomly divided into 2 groups. Group I (electrocautery group) included 187 patients while group II (harmonic group) consisted 163 patients. All the patients participated in the study were 25 to 50 years age group. Results: Incident of minor bleeding were recorded 21 patients of group I while 17 patients of group II. Major bleeding occurred in 15 patients (8.02%) of group I and 5 patients of group II. The range of time needed to control major bleeding was 2 to 9 minutes with a mean of 4.5 minutes. Major bleeding occurred in 5 patients (3.06%) in the group II, 2 of them needed clipping of the site of bleeding; suturing, in one case and several touches by the harmonic instrument in one. Conclusion: Findings of the present study showed that use of harmonic devices not only improved the results but also decrease the risk of associated disorders of electrocautery trauma. Moreover, findings of current study suggest that use of harmonic devices can make the laparoscopic cholecystectomy more safer procedure.
Authors and Affiliations
Ram Avtar
Keywords
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- EP ID EP531988
- DOI 10.21276/ijmrp.2018.4.3.038
- Views 117
- Downloads 0
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