COMPARISON OF MEAN BLOOD LOSS USING HARMONIC SCALPEL AND MONOPOLAR ELECTROCAUTRY IN MODIFIED RADICAL MASTECTOMY

Blood Loss Using Harmonic Scalpel And Monopolar Electrocautry

  • Rizwan Ahmed, Pakistan Naval Ship (PNS) Shifa Hospital Karachi Pakistan
  • Amir Hussain Command and Staff College Quetta Pakistan
  • Muhammad Zill-e- Humayon Pakistan Naval Ship (PNS) Shifa Hospital Karachi Pakistan,
  • Omer Bin Abdul Aziz Combined Military Hospital Kohat Pakistan
  • Irfan Shuk *Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Komal Asgher HQ Khyber Rifles Hospital Landi Kotal Pakistan
Keywords: Modified radical mastectomy, Monopolar electrocautry, Per operative, Post operative blood loss, Harmonic scalpel

Abstract

Objective: The objective of this study was to compare the mean per operative and post operative blood loss using harmonic scalpel and monopolar electrocautry in modified radical mastectomy.
Study Design: Randomized controlled trial.
Place and Duration of Study: Department of surgery PNS Shifa Karachi, from 25th Oct 2011 to 24th Apr 2012.
Material and Methods: A total of 64 patients, undergoing Modified Radical Mastectomy (MRM) were randomly divided into two groups of 32 patients each, using random numbers table. Dissection in group A was done using Harmonic Scalpel (HS). Group B underwent Monopolar Electrocautry (ME) for dissection and hemostasis. Mean per and post operative blood loss was calculated in milliliters.
Results: Mean per operative and post operative blood loss using harmonic scalpel (group-A) was 121.19 ± 5.63 ml while 603.35 ± 8.04 ml loss was recorded in monopolar electrocautry group (group B). A p-value was calculated as <0.001 which shows a significant difference between both the groups.
Conclusion: The mean per and post operative blood loss using harmonic scalpel is significantly less than using monopolar electrocautry in modified radical mastectomy.
Keywords: Modified radical mastectomy, Monopolar electrocautry, ost operative blood loss,
Harmonic scalpel.Per operative, P

 

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Published
2018-04-30
How to Cite
Ahmed, R., Hussain, A., Humayon, M., Aziz, O., Shuk, I., & Asgher, K. (2018). COMPARISON OF MEAN BLOOD LOSS USING HARMONIC SCALPEL AND MONOPOLAR ELECTROCAUTRY IN MODIFIED RADICAL MASTECTOMY. PAFMJ, 68(2), 221-24. Retrieved from https://www.pafmj.org/index.php/PAFMJ/article/view/242
Section
Original Articles