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Harmonic Scalpel versus Conventional Haemostasis in Neck Dissection : A Prospective Randomized Study
Joint Authors
Lunghi, Marcello
Ferri, Emanuele
Armato, Enrico
Tirelli, Giancarlo
Spinato, Giacomo
Spinato, Roberto
Source
International Journal of Surgical Oncology
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-12-22
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Purpose.
The aim of this prospective randomized trial was to compare operative factors, postoperative outcomes, and surgical complications of neck dissection (ND) when using the harmonic scalpel (HS) versus conventional haemostasis (CH) (classic technique of tying and knots, resorbable ligature, and bipolar diathermy).
Materials and methods.
Sixty-one patients who underwent ND with primary head and neck cancer (HNSCC) resection were enrolled in this study and were randomized into two homogeneous groups: CH (conventional haemostasis with classic technique of tying and knots, resorbable ligature, and bipolar diathermy) and HS (haemostasis with harmonic scalpel).
Outcomes of the study included operative time, intraoperative blood loss, drainage volume, postoperative pain, hospital stay, and incidence of intraoperative and postoperative complications.
Results.
The use of the HS reduced significantly the operating time, the intraoperative blood loss, the postoperative pain, and the volume of drainage.
No significant difference was observed in mean hospital stay and perioperative, and postoperative complications.
Conclusion.
The HS is a reliable and safe tool for reducing intraoperative blood loss, operative time, volume of drainage and postoperative pain in patients undergoing ND for HNSCC.
Multicenter randomized studies need to be done to confirm the advantages of this technique and to evaluate the cost-benefit ratio.
American Psychological Association (APA)
Ferri, Emanuele& Armato, Enrico& Spinato, Giacomo& Lunghi, Marcello& Tirelli, Giancarlo& Spinato, Roberto. 2013. Harmonic Scalpel versus Conventional Haemostasis in Neck Dissection : A Prospective Randomized Study. International Journal of Surgical Oncology،Vol. 2013, no. 2013, pp.1-8.
https://search.emarefa.net/detail/BIM-466547
Modern Language Association (MLA)
Ferri, Emanuele…[et al.]. Harmonic Scalpel versus Conventional Haemostasis in Neck Dissection : A Prospective Randomized Study. International Journal of Surgical Oncology No. 2013 (2013), pp.1-8.
https://search.emarefa.net/detail/BIM-466547
American Medical Association (AMA)
Ferri, Emanuele& Armato, Enrico& Spinato, Giacomo& Lunghi, Marcello& Tirelli, Giancarlo& Spinato, Roberto. Harmonic Scalpel versus Conventional Haemostasis in Neck Dissection : A Prospective Randomized Study. International Journal of Surgical Oncology. 2013. Vol. 2013, no. 2013, pp.1-8.
https://search.emarefa.net/detail/BIM-466547
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-466547