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Comparison of lateral thermal damage of the human peritoneum using monopolar diathermy, Harmonic scalpel and LigaSure (CROSBI ID 200793)

Prilog u časopisu | izvorni znanstveni rad | međunarodna recenzija

Družijanić, Nikica ; Pogorelić, Zenon ; Perko, Zdravko ; Mrklić, Ivana ; Tomić, Snježana Comparison of lateral thermal damage of the human peritoneum using monopolar diathermy, Harmonic scalpel and LigaSure // Canadian journal of surgery, 55 (2012), 5; 317-321. doi: 10.1503/cjs.000711

Podaci o odgovornosti

Družijanić, Nikica ; Pogorelić, Zenon ; Perko, Zdravko ; Mrklić, Ivana ; Tomić, Snježana

engleski

Comparison of lateral thermal damage of the human peritoneum using monopolar diathermy, Harmonic scalpel and LigaSure

BACKGROUND: New hemostatic technologies are often employed in open and laparoscopic surgery to reduce duration of surgery and complications. Monopolar diathermy, Harmonic scalpel and LigaSure are routinely used in open and laparoscopic surgery for tissue cutting and hemostasis. We compared lateral thermal damage following in vivo application of 3 commonly used instruments. METHODS: We used monopolar diathermy, Harmonic scalpel and LigaSure to coagulate and divide the peritoneum of patients who underwent median laparotomy. After anesthesia, median supraumbilical laparotomy was performed, and the peritoneum of each patient was coagulated using different devices. Using light microscopy and morphometric imaging analysis, the width of tissue lateral thermal damage was measured from the point of the peritoneal incision. RESULTS: We included 100 patients in our study. After a peritoneal incision, the mean lateral thermal damage of monopolar diathermy, Harmonic scalpel (output power 3), Harmonic scalpel (output power 5) and LigaSure were 215.79 μm, 90.42 μm, 127.48 μm and 144.18 μm, respectively. CONCLUSION: The degree of lateral thermal spread varied by instrument type, power setting and application time. LigaSure and Harmonic scalpel were the safest and most efficient methods of tissue coagulation. Monopolar diathermy resulted in the greatest degree of thermal damage in tissues.

lateral thermal damage; human peritoneum; monopolar diathermy; harmonic scalpel; LigaSure

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Podaci o izdanju

55 (5)

2012.

317-321

objavljeno

0008-428X

10.1503/cjs.000711

Povezanost rada

Kliničke medicinske znanosti

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