BACKGROUND Seroma formation and lymphoedema are frequently encountered complications after radical lymph node dissection (RLND). Attempts to reduce the lymphatic morbidity include the use of Ultrasonic Scalpel. The aim of the present analysis was to assess the impact of the ultrasonic scalpel on the amount of drained lymph after lymph node dissection. METHODS Patients listed for a RLND or com...

background: current development of surgery is due to medical practitioners and surgeons practices and experiments throughout the history. albucasis, the muslim spanish physician in 10 century ad was one of the pioneers in surgery that had major influence by his innovations in surgical techniques, treatment approaches and invention of instruments. he introduced a type of surgical knife named mok...

The case of a patient is presented in whom a No. 11 scalpel blade was inadvertently broken and embedded within the lateral femoral condyle during initial arthroscopic portal creation. After a thorough diagnostic arthroscopy and synovectomy to expose the distal femoral articular surface was unsuccessful, luoroscopy was performed to localize the blade fragment in orthogonal planes. The blade tip ...

The use of Implanon®/Nexplanon® has been growing in general practice and family planning clinics since its introduction in 1999. It is the most effective hormonal contraceptive available today, preventing 999 in 1000 pregnancies over its recommended period of use. I have been practising a technique for the removal for the past 8 years that I have found to be easier than the traditional one. Wit...

Ever since the beginning of laparoscopic Cholecystectomy, in 1985 by Erich Mühe in Germany followed by Harry Reich and Eddie Joe Reddick an American in 1989, the technique has seen many areas of refinements. Initially popularized techniques were turned down by the pioneers on the account of incredible and awful complications substantiated by controlled trials. The dissection of the cystic pedic...

We conducted a large-scale retrospective study to compare the surgical efficacy, practical utility, safety, and costeffectiveness of ultrasonic harmonic scalpel tonsillectomy, hot electrocautery, and cold surgical dissection. We based our findings on the length of operating time, complication rates, the length of hospital stay for patients with complications, and relative costs. We then compare...

OBJECTIVES To compare the potential for postoperative laparoscopic adhesion formation utilizing either monopolar cautery or ultrasonic energy and to determine whether there is added benefit with the addition of a suspension of hyaluronate/carboxymethylcellulose in saline versus saline alone. METHODS Injuries were induced in rabbits by using monopolar cautery on 1 uterine horn and adjacent si...