Total Laparoscopic Hysterectomy with Harmonic Ultracision
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Total Laparoscopic Hysterectomy Using the Harmonic Scalpel
Total laparoscopic hysterectomy (TLH) is the complete hysterectomy including transection of the uterine vessels and opening/closure of the vaginal vault performed laparoscopically. This procedure can be performed as an alternative to total abdominal hysterectomy in many cases. We previously found use of the harmonic scalpel to be extremely helpful in performing laparoscopically assisted vaginal...
متن کاملA Comparative Study of Use of Different Electrosurgical Techniques for Opening The Vaginal Cuff In Total Laparoscopic Hysterectomy: Monopolar Cutting, Coagulating And Harmonic Scalpel
and keywords: monopolar cutting current,coagulating current, harmonic scalpel.
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We have evaluated the utility, indications and disadvantages of the Ultracision harmonic scalpel, in the cochlear implants, and his advantages compare to other electrocoagulation's systems. These aspects were evaluated in 50 cases of cochlear implants, made along the last years. We concluded that the Ultracision harmonic scalpel is indicated, mainly, in the otology field, in these situations in...
متن کاملComparison of the harmonic scissors and endostapler in laparoscopic supracervical hysterectomy.
We conducted a retrospective analysis of 29 consecutive patients undergoing laparoscopic supracervical hysterectomy to compare outcomes using the endostapler (15 women) versus harmonic scissors (14). Both instruments resulted in similar outcomes with regard to operating room time, blood loss, and hospital stay. The harmonic scissors have the advantage of decreasing patient cost compared with th...
متن کاملEdema and activation of inflammatory processes occur at 34‐44 ̊C, shrinkage of collagen structure occurs at ~50‐80 ̊C and cell wall rupture and carbonization
Electrical surgical devices may determine tissue damage through lateral thermal spread and activation of inflammatory processes. Several tissue effects are associated with the use of different surgical instruments. The aim of the present study was to compare tissue damage following the application of cold knife biopsy, bipolar electrocoagulation and the ultracision harmonic scalpel, through the...
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