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128157

Evaluation of Safety and Efficacy of Harmonic Scalpel During Laparoscopic Cholecystectomy

Article

Last updated: 01 Jan 2025

Subjects

-

Tags

General Surgery

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.

DOI

10.21608/zumj.2020.46297.1970

Keywords

Laparoscopic cholecystectomy, Ultrasound, Harmonic Scalpel, gallstones

Authors

First Name

Mohamad

Last Name

Salem

MiddleName

Ali

Affiliation

Department of General Surgery, Al Mergeb University, Libyaز

Email

rumisa.elias@gmail.com

City

-

Orcid

-

First Name

Khaled

Last Name

Fahmi

MiddleName

Safwat

Affiliation

Department of General Surgery, Zagazig University hospitals, Zagazig, Egypt

Email

kh_safwat@yahoo.com

City

-

Orcid

-

First Name

Abdelrahman

Last Name

Sarhan

MiddleName

Mohamed Amin

Affiliation

Department of surgery, Faculty of medicine, Zagazig university, Zagazig, Egypt

Email

abdelrahmansarhan@yahoo.com

City

Zagazig

Orcid

-

First Name

Fady

Last Name

Habib

MiddleName

Mehaney

Affiliation

Department of General Surgery, Zagazig University hospitals, Zagazig, Egypt.

Email

fadywin2005@yahoo.com

City

zagazig

Orcid

-

First Name

Ahmed

Last Name

Sallam

MiddleName

M.

Affiliation

Department of General Surgery, Zagazig University hospitals, Zagazig, Egypt

Email

a_sallam_1980@yahoo.com

City

-

Orcid

0000-0001-5548-6579

Volume

29

Article Issue

1.2

Related Issue

39915

Issue Date

2023-01-01

Receive Date

2020-10-14

Publish Date

2023-01-01

Page Start

246

Page End

253

Print ISSN

1110-1431

Online ISSN

2357-0717

Link

https://zumj.journals.ekb.eg/article_128157.html

Detail API

https://zumj.journals.ekb.eg/service?article_code=128157

Order

589

Type

Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

Evaluation of Safety and Efficacy of Harmonic Scalpel During Laparoscopic Cholecystectomy

Details

Type

Article

Created At

30 Dec 2024