Alumi Laparoscopic Discussion Board

What are the most common complication of Harmonic Scalpel?
Discussion in 'All Categories' started by Dr Babita Sakhuja - Jun 3rd, 2016 10:49 pm.
Dr Babita Sakhuja
Dr Babita Sakhuja
I know he Harmonic scalpel is a surgical instrument used to simultaneously cut and cauterize tissue. But please give some light on what are the most common complication of Harmonic Scalpel?
re: What are the most common complication of Harmonic Scalpel? by Dr R K Mishra - Jun 5th, 2016 1:35 am
#1
Dr R K Mishra
Dr R K Mishra
Dear Dr Sakhuja

The harmonic scalpel is trade name for Ethicon ultrasonic generator which is an ultrasonically activated surgical instrument system used extensively in laparoscopic surgery for tissue dissection. It has shown fast expanding surgical applications, there are no much reports about associated complications but if the vibrating jaw will directly touch the bowel or vessel it can puncture it.

Acoustic energy coupling produced by vibrating jaw of harmonic scalpel and overheating of its active blade extender sheath occur with bending of the instrument. This can happen with steering of the blade extender during laparoscopic surgery and may increase the exposure risk of adjacent tissues to injury with temperature sometime rises to 180 degree centigrade. This happen due to friction of metal to metal.
re: What are the most common complication of Harmonic Scalpel? by DR. G. SSALI - Jun 7th, 2016 11:07 am
#2
DR. G. SSALI
DR. G. SSALI
Harmonic scalpel also has the problem that it does not last for more than 5 surgery and it is too expensive.
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