OBJECTIVE To compare operative factors, postoperative outcomes, and surgical complications of thyroidectomy when using the harmonic scalpel (HS) vs conventional hemostasis (CH). DESIGN Single-blind, randomized controlled trial. SETTING Department of Surgery, S. Chiara Hospital, University of Pisa, Pisa, Italy. PATIENTS One hundred patients undergoing thyroidectomy. MAIN OUTCOME MEASURES...

OBJECTIVE Misidentification of ductal anatomy and electrocautery injuries are complications associated with laparoscopic cholecystectomy (LC). Dome-down LC creates a 360-degree view of the gallbladder-cystic duct junction, reducing the risk for anatomy misidentification. In addition, ultrasonic instrumentation eliminates the risk for electrocautery injuries. This study assessed the feasibility ...

Surgical treatment is considered to be the best therapeutic modality for third and fourth-degree hemorrhoidal disease. Many different methods of hemorrhoidectomy aim to decrease pain, and complications. The aim of this study was to compare the results of Harmonic Scalpel (HS) hemorrhoidectomy with conventional Ferguson’s hemorrhoidectomy for the treatment of grade III and IV hemorrhoids. During...

483 reconstruction with local tissue transfer. Intraoperatively, the surgeon noticed that the tumor was involving the pectoralis major muscle superiorly and was growing into the anterior and lateral pocket of the previous ICD generator location. This resection was undertaken carefully with the harmonic scalpel. One of the wires was intimately attached to the posterior aspect of the tumor embedd...