Literature DB >> 19308436

A prospective observational study of 363 cases operated with three different harmonic scalpels.

Drago Prgomet1, Sasa Janjanin, Mario Bilić, Ratko Prstacić, Lana Kovac, Mihael Rudes, Vladimir Katić.   

Abstract

The objective of this study is to evaluate the efficacy of the Harmonic ACE, Harmonic FOCUS and harmonic scalpel with 5-mm curved blade in head and neck surgery. During a 15-month period, we performed 295 thyroidectomies, 23 parotidectomies and 45 tonsillectomies using the harmonic scalpel. Control group consisted of 106 thyroidectomies, 9 parotidectomies and 30 tonsillectomies performed with the use of conventional hemostatic techniques. The use of both Harmonic ACE and Harmonic FOCUS scalpel reduced the time of thyroid and parotid surgery by 20-25%. The use of Harmonic ACE reduced the mean time of tonsillectomy, while the use of 5-mm curved blade had no significant effect. Postoperative pain and complication rate were comparable for both the groups. In conclusion, the use of both Harmonic ACE and Harmonic FOCUS devices significantly reduces operative time in the head and neck procedures and enables a smaller neck skin incision in thyroidectomy.

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Year:  2009        PMID: 19308436     DOI: 10.1007/s00405-009-0954-3

Source DB:  PubMed          Journal:  Eur Arch Otorhinolaryngol        ISSN: 0937-4477            Impact factor:   2.503


  17 in total

1.  The use of the harmonic scalpel for glossectomy.

Authors:  E W To; P C Pang; E C Lai; W M Tsang
Journal:  Br J Plast Surg       Date:  2001-09

2.  Minimally invasive video-assisted thyroidectomy.

Authors:  P Miccoli; P Berti; M Raffaelli; M Conte; G Materazzi; D Galleri
Journal:  Am J Surg       Date:  2001-06       Impact factor: 2.565

3.  Ultracision: the harmonic scalpel and its possible uses in maxillofacial surgery.

Authors:  J A Sherman; H T Davies
Journal:  Br J Oral Maxillofac Surg       Date:  2000-10       Impact factor: 1.651

4.  Thyroidectomy using the harmonic scalpel: analysis of 105 consecutive cases.

Authors:  Larry Shemen
Journal:  Otolaryngol Head Neck Surg       Date:  2002-10       Impact factor: 3.497

5.  Comparison of posttonsillectomy pain using the ultrasonic scalpel, coblator, and electrocautery.

Authors:  Stephen P Parsons; Susan R Cordes; Brett Comer
Journal:  Otolaryngol Head Neck Surg       Date:  2006-01       Impact factor: 3.497

6.  A randomized, prospective, parallel group study comparing the Harmonic Scalpel to electrocautery in thyroidectomy.

Authors:  Carlos Cordón; Rafael Fajardo; Jaqueline Ramírez; Miguel F Herrera
Journal:  Surgery       Date:  2005-03       Impact factor: 3.982

7.  Laparoscopic-assisted vaginal hysterectomy using the laparosonic coagulating shears.

Authors:  M L Robbins; R J Ferland
Journal:  J Am Assoc Gynecol Laparosc       Date:  1995-05

Review 8.  Harmonic scalpel for tonsillectomy.

Authors:  Brian J Wiatrak; J Paul Willging
Journal:  Laryngoscope       Date:  2002-08       Impact factor: 3.325

9.  Laparoscopic cholecystectomy in 200 consecutive patients using an ultrasonically activated scalpel.

Authors:  J F Amaral
Journal:  Surg Laparosc Endosc       Date:  1995-08

10.  The use of a harmonic scalpel in thyroid surgery: report of a 3-year experience.

Authors:  Konstantinos Koutsoumanis; Athanasios S Koutras; Panagiotis G Drimousis; Konstantinos M Stamou; Dimitrios Theodorou; Stylianos Katsaragakis; John Bramis
Journal:  Am J Surg       Date:  2007-06       Impact factor: 2.565

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  19 in total

1.  Harmonic Focus™ versus "knot tying" during total thyroidectomy: a randomized trial.

Authors:  Paolo Gentileschi; Stefano D'Ugo; Edoardo Iaculli; Achille Lucio Gaspari
Journal:  Updates Surg       Date:  2011-07-26

2.  Resection of a laryngeal hemangioma in an adult using an ultrasonic scalpel: A case report.

Authors:  Xurui Wang; Xiaodong Zhao; Wei Zhu
Journal:  Oncol Lett       Date:  2015-03-24       Impact factor: 2.967

3.  The impact of the Harmonic FOCUS™ on complications in thyroid surgery: a prospective multicenter study.

Authors:  Gabriele Materazzi; Giuseppe Caravaglios; Valeria Matteucci; Aleksandr Aghababyan; Mario Miccoli; Paolo Miccoli
Journal:  Updates Surg       Date:  2013-06-29

4.  Hypocalcemia After Completion Thyroidectomy for Papillary Thyroid Carcinoma.

Authors:  Boris Bumber; Valentino Potroško; Ozren Vugrinec; Maja Ferenčaković; Krešimir Gršić
Journal:  Acta Clin Croat       Date:  2020-06       Impact factor: 0.780

5.  Voice Outcomes as a Results of Voice Therapy after Lobectomy and Thyroidectomy.

Authors:  Ana Bonetti; Ivana Šimić; Tamara Živković-Ivanović
Journal:  Acta Clin Croat       Date:  2020-06       Impact factor: 0.780

Review 6.  Thyroidectomy-related Swallowing Difficulties: Review of the Literature.

Authors:  Ana Đanić-Hadžibegović; Filip Hergešić; Ema Babić; Juraj Slipac; Ratko Prstačić
Journal:  Acta Clin Croat       Date:  2020-06       Impact factor: 0.780

Review 7.  Prophylactic Central Neck Dissection in Well-differentiated Thyroid Cancer.

Authors:  Krešimir Gršić; Boris Bumber; Renata Curić Radivojević; Dinko Leović
Journal:  Acta Clin Croat       Date:  2020-06       Impact factor: 0.780

Review 8.  Overview of Thyroid Surgery Complications.

Authors:  Juraj Lukinović; Mario Bilić
Journal:  Acta Clin Croat       Date:  2020-06       Impact factor: 0.780

9.  Skip Metastases in Papillary Thyroid Carcinoma - Prevalence, Predictive and Clinicopathological Factors.

Authors:  Borna Miličić; Ratko Prstačić; Drago Prgomet
Journal:  Acta Clin Croat       Date:  2020-06       Impact factor: 0.780

Review 10.  Total Thyroidectomy with Central Node Dissection is a Valuable Option in Papillary Thyroid Cancer Treatment.

Authors:  Marija Pastorčić Grgić; Boris Stubljar; Pavao Perše; Mirta Zekan Vučetić; Sanda Šitić
Journal:  Acta Clin Croat       Date:  2020-06       Impact factor: 0.780

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