Gallbladder Perforation with Conventional Monopolar Diathermy Versus Harmonic Scalpel in Laparoscopic Cholecystectomy at Combined Military Hospital, Quetta

Ahmed, Ghufran; Ashraf, Imran; Jabbar, Abdul; Muazzam, Muhammad Ali; Ahmed, Umair; Ali, Amir

doi:10.51253/pafmj.v72i5.3903

Cited by 1 publication

(2 citation statements)

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“…The ultrasonic device retains the operative zone blood less, which aids the less expert in identifying the proper plane, shortened operational clock, lower incidence of gallbladder perforation, lower postoperative discomfort and lower number conversions. 14 Therefore, its feasibility, handling and the superior performance of the ultrasonic device urges surgeons to expand its function and embrace it as a viable alternative to normal clipping. 14 However, the primary constraint of using this approach is the lack of availability, the needed experience, and the pricey apparatus, which is tough to get in a resource-constrained nation.…”

Section: Introductionmentioning

confidence: 99%

“…14 Therefore, its feasibility, handling and the superior performance of the ultrasonic device urges surgeons to expand its function and embrace it as a viable alternative to normal clipping. 14 However, the primary constraint of using this approach is the lack of availability, the needed experience, and the pricey apparatus, which is tough to get in a resource-constrained nation. Methodology: This Prospective comparative study was conducted over a Six months from march 2021 to January 2022 in department of general surgery at Liaquat University Hospital Jamshoro.…”

Section: Introductionmentioning

confidence: 99%

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To compare efficiency of ultrasonic vessel sealing device and convention-al method in laparoscopic cholecystectomy.

Anum Asif,

Syed Amir Shah,

Sadia paras

et al. 2023

j Muhammad Med Coll

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Objective: To compare the outcomes of ultrasonic vessel sealing device and conventional method during laparoscopic cholecystectomy.Methodology: This prospective comparative study was carried at the Department of General Surgery, LUMHS during16-06-2021 to 25-01-2022. A total of 140 Patients with symptomatic gallstones assigned in two groups on surgeon’s pref-erence after fulfilling inclusion criteria for LC. Group A, LC done by Using clips & cautery method and group B, LC done by using harmonic scalpel. All surgeries was performed by senior consultant. Data was collected via pre-structured proforma. The outcomes was measured.Results: Mean duration of procedure difference was significantly less in patients with LC was done with harmonic scal-pel in comparison with conventional method [Mean difference -6.71±1.24 min; p=0.0005]. Rate of intraoperative bleed-ing more than 100 ml was significant [A=35.7% vs. B=0; p=0.0005]. Similarly rate of postoperative bleeding was signifi-cant [A=17.14% vs. B=5.71%; p=0.034]. Rate of gallbladder perforation and lateral tissue damage was also significant [14.3% vs. 40%; p=0.001] and [0% vs. 10%; =0.013] respectively. Drain content was significant [A=72.3% vs. B=11.4%; p=0.0005]. Hospital stay more than 1 day was significantly less in patients [A=62.8% vs. B=30% p=0.0005].Conclusion:The ultrasonic vascular sealing device achieves satisfactory hemobiliary stasis in most of patients and may serve as a safer substitute to definitive cystic duct and artery clipping. Key words: laparoscopic cholecystectomy, conventional method, ultrasonic vessel sealing device, outcomes.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%