The effects of scalpel, harmonic scalpel and monopolar electrocautery on the healing of colonic anastomosis after colonic resection
| Autor: | Kuzey Aydinuraz, Osman Güler, Gökhan Karaca, Aytul Kilinc, Vildan Fidanci, Hüseyin Özer, Canan Altunkaya, Ahmet Tekeli, Recep Pekcici |
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| Přispěvatelé: | Kırıkkale Üniversitesi |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Electrosurgery Colon medicine.medical_treatment Colonic anastomosis Anastomosis 03 medical and health sciences Surgical anastomosis 0302 clinical medicine 0502 economics and business Harmonic scalpel Medicine business.industry 05 social sciences Colonic resection Significant difference equipment and supplies Surgery surgical procedures operative Anastomosis healing 030220 oncology & carcinogenesis 050211 marketing Original Article business Wound healing |
| Zdroj: | Annals of Surgical Treatment and Research |
| ISSN: | 2288-6796 2288-6575 |
| Popis: | WOS: 000376950400004 PubMed: 27274507 Purpose: In our study, the effects of harmonic scalpel, scalpel, and monopolar electrocautery usage on the health and healing of colon anastomosis after resection was investigated. Methods: In this study, 120 female albino Wistar rats were divided into 3 groups each containing 40 rats. Group A, resection with scalpel; group B, resection with monopolar electrocautery; group C, resection with harmonic scalpel. The groups were divided into 4 subgroups consisting of 10 rats and analysed in the postoperative 1st, 3rd, 5th, and 7th days. Anastomotic bursting pressures, hydroxyproline levels and histopathological parameters were surrogate parameters for evaluating wound healing. Results: The tissue hydroxyproline levels did not show any significant difference between the groups and subgroups. The mean bursting pressure of group A on the 5th day was significantly higher than groups B and C (P < 0.001). When the fibroblast and fibrosis scores were evaluated, scores of group C on the 5th day were significantly higher than the other groups, but the results of bursting pressures and biochemical parameters did not support the fibroblast and fibrosis scores. There were not any significant differences between the groups in other histopathologic parameters. Conclusion: The use of monopolar electrocautery needs more attention since the device causes tissue destruction. The obliterating effect of harmonic scalpel on luminal organs is an important problem, especially if an anastomosis is planned. Despite the disadvantages of scalpel, its efficacy on early wound healing is better than the other devices. |
| Databáze: | OpenAIRE |
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