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QUASI EXPERIMENTAL STUDY TO DECIDE THE ADEQUACY AND SECURITY OF THE HARMONIC SCALPEL IN LAPAROSCOPIC CHOLECYSTECTOMY

Dr Waqar Qamar, Dr Arslan Arshad Satti, Dr Sarah Fatima

Objective: To decide the adequacy and security of the Harmonic Scalpel in laparoscopic cholecystectomy Study Design: Quasi Experimental Study. Place and duration of study: Mayo Hospital, Lahore from Jan to December 2018. Patients and Methods: An aggregate of 110 back to back patients experiencing laparoscopic cholecystectomy in which the techniques were performed solely with the Harmonic Scalpel were incorporated. Patients were of either sex and of various age gatherings. Just three patients were worked in crisis and all other experienced elective medical procedure. Simplicity of dismemberment and lucidity of employable field [as controlled by meaning of analyzation planes, requirement for utilizing water system/suction and requirement for clearing the smoke by departure of gas], haemostasis and control of vascular pedicles, rate of entanglements, rate of transformation to open medical procedure and analyzation time were examined. Information was investigated by SPSS. Frequencies and rates were determined Results: There were 65 females and 40 guys. Age extend was 24-72 years with mean age 45 years. Water system with saline and suction was required in just 5 cases. There was for all intents and purposes no or negligible whitish smoke and none required departure of gas to clear the employable field from it. No patient had discharge of any degree. Cystic course was cut in 40 (36.36%) patients and in all others [54.54%] it was verified by consonant coagulation. None had CBD or inside damage or post operation sepsis. Two (1.82%) cases expected transformation to open medical procedure because of thick bonds and cloud life systems. Cystic channel was dismembered out with a similar gadget yet was cut in every one of the cases. Normal analyzation time was 40 minutes (extend, 17-75 minutes).There was no mortality. Conclusion: The Harmonic scalpel is protected and a specialist neighborly instrument for laparoscopic cholecystectomy Keywords: Cholecystectomy, Harmonic scalpel, laparoscopy.

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