Ureteral Injury Due to a Harmonic Scalpel During Laparoscopic Salpingo-oophorectomy

Ureteral Injury Due to a Harmonic Scalpel During Laparoscopic Salpingo-oophorectomy

We present an unusual complication of a ureteral injury occurring during a bilateral laparoscopic salpingo-oophorectomy with the Harmonic scalpel (HS). The case illustrates in the same patient the versatility of the HS as a laparoscopic surgical instrument and energy source while at the same time demonstrating the potential for adverse, unexpected complications.

Laparoscopic Salpingo-oophorectomy in Conscious Sedation

INTRODUCTION Conscious sedation has traditionally been used for laparoscopic tubal ligation. General anesthesia with endotracheal intubation may be associated with side effects, such as nausea, vomiting, cough, and dizziness, whereas sedation offers the advantage of having the patient awake and breathing spontaneously. Until now, only diagnostic laparoscopy and minor surgical procedures have be...

Perioperative Outcomes Using Ligasure Compared to Conventional Bipolar Instruments in Laparoscopic Salpingo-oophorectomy: a Randomized Controlled Trial Ligasure Compared to Conventional Bipolar during Laparoscopic Salpingo-oophorectomy

Laparoscopic Cholecystectomy With Harmonic Scalpel

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, N...

Laparoscopic abdominal cysts fenestration using harmonic scalpel.

The use of ultrasonically activated scalpel for tissue cutting and coagulation is a potential replacement for electrosurgery, which can be related to different complications. Its working principle is to transform the electric power into the mechanical longitudinal movement of the working part of the instrument, by a piezoelectric transducer situated in the hand piece. Between October 2000 and J...