Comparison of Blood Loss between Harmonic Scalpel and Monopolar Electrocautry in Modified Radical Mastectomy

Aim: To compare mean blood loss between harmonic scalpel and monopolar electrocautry in modified radical mastectomy Methods: This comparative study was conducted from 1 st June 2015 to 31 st December 2015 in the Department of Surgery, Bolan Medical Complex Hospital Quetta. A total of 100 females (50 in two groups) between 20-70 years of age with carcinoma breast were included, Thrombocytopenia, Hemophilia, Liver disease, and not fit for anesthesia were excluded from the study. Patients were randomly allocated into two equal groups; group A and group B. Group A was allotted for harmonic scalpel (HS) and Group B to the patients treated dissected with monopolar electrocautry (ME). Results: Mean age was calculated as 56.87±6.45 years, comparison of mean blood loss was calculated as 79.52±8.41 ml in Group-A and 206.34±6.89 ml in Group-B, p value was calculated as <0.001 showing a significant difference between the two techniques. Conclusion: The mean post-operative bleeding was significantly lower in harmonic scalpel when compared with monopolar electrocautry in modified radical mastectomy.