Use of ultrasonic scalpel and monopolar electrocautery for skin incisions in neck dissection: a prospective randomized trial

Schneider, Daniel J.; Goppold, Kai; Kaemmerer, Peer W.; Schoen, Gerhard; Woehlke, Michael; Bschorer, Reinhard

doi:10.1007/s10006-018-0686-x

Cited by 11 publications

(12 citation statements)

References 25 publications

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“…An ultrasonic knife is very convenient to carry out separation of tissues and pathologically altered structures from normal ones, which is expedient for scars' excision. In a randomized trial, Schneider D et al performed an intraoperative and postoperative comparison of wounds -incisions applied to skin in neck dissection using an ultrasound scalpel (15 patients) and a monopolar electrocautery (15 patients), which were standard equipment for soft tissue surgery [5]. It is shown that ultrasonic scalpel led to a decrease in bleeding in the incision and postoperative pain, while the operation time and complications in both groups were the same.…”

Section: Resultsmentioning

confidence: 99%

Comparison of Different Types of Cutting Devices in Surgery (Review)

Stupin¹,

Мантурова²,

Donskikh³

et al. 2018

IJET

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The present work presents a description of various cutting devices with an emphasis on skin surgery for the optimal choice of instruments in plastic surgery. Physical principles of work with a description of the biological role of an ultrasonic scalpel, various laser cutting devices, electrosurgical instruments, including radiofrequency electrosurgery, are described. Studies of recent years, including systematic reviews and meta-analyzes, are devoted to comparative analysis of various cutting and coagulating devices among themselves and in comparison with the mechanical metal scalpel.

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Section: Resultsmentioning

confidence: 99%

Comparison of Different Types of Cutting Devices in Surgery (Review)

Stupin¹,

Мантурова²,

Donskikh³

et al. 2018

IJET

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“…These investigations utilise an application-specific transducer and blade construction. The use of ultrasonic cutting has also been investigated in the support of surgeries [6,7,8]. However, the key consideration in these investigations was the effect of temperature where a lower temperature rise resulted in less tissue damage.…”

Section: Introductionmentioning

confidence: 99%

Cutting edge technology: Sound sharpens the blade

et al. 2020

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“…Use of this device can lead to reduced lateral thermal spread and adjacent tissue destruction, 15,16 contributing to reduced postoperative pain and less bleeding in the surgical area. 17 This study was performed to compare the oncologic outcomes, surgical variables, complications, and functional results of TGE and harmonic scalpel-assisted MECD (HS-MECD), which is an advanced technique in the management of benign tumours of the SMG. Hypothetically, because HS-MECD is less invasive, this new approach may lead to fewer complications and improved outcomes without increasing the incidence of recurrence.…”

Section: Introductionmentioning

confidence: 99%

Resection of benign tumours of the submandibular gland with harmonic scalpel-assisted minimally extracapsular dissection

Zheng

Cao

et al. 2020

J Int Med Res

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This study was performed to compare the oncologic and functional outcomes in patients with benign submandibular gland (SMG) tumours after harmonic scalpel-assisted minimally extracapsular dissection (HS-MECD) or total gland excision (TGE). Methods: In total, 133 consecutive patients who were preoperatively diagnosed with benign SMG tumours (pleomorphic adenoma, Warthin's tumour, basal cell adenoma, or lymphoepithelial cyst) from 2013 to 2016 were included in this two-centre retrospective study. Sixty-four patients underwent HS-MECD and 69 patients underwent TGE. All tumours were within 4 cm. Surgical variables, complications, functional outcomes, and recurrence rates were evaluated. Results: The operation time, blood loss, drainage time and volume, and length of hospital stay were significantly lower in the HS-MECD than TGE group. HS-MECD reduced local pain and transient facial nerve paralysis outcomes. Incision scars and facial deformities were less visible according to the visual analogue scale. No significant differences were found in either unstimulated or stimulated whole saliva at 1 month postoperatively, whilst higher unstimulated levels were detected in the HS-MECD group at 6 months. The recurrence rate was similar between the two groups. Conclusion: For benign SMG tumours of <4 cm, HS-MECD represents a less invasive technique than TGE and affords patients increased postoperative functionality.

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Use of ultrasonic scalpel and monopolar electrocautery for skin incisions in neck dissection: a prospective randomized trial

Abstract: UC results in less postoperative pain and less bleeding in the neck incision area. Accordingly, UC is superior to ME for skin incisions in neck dissection.

Cited by 11 publications

References 25 publications

Comparison of Different Types of Cutting Devices in Surgery (Review)

Comparison of Different Types of Cutting Devices in Surgery (Review)

Cutting edge technology: Sound sharpens the blade

Resection of benign tumours of the submandibular gland with harmonic scalpel-assisted minimally extracapsular dissection

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