Document Detail


Ultrasonic scalpel for sealing of the thoracic duct: evaluation of effectiveness in an animal model.
MedLine Citation:
PMID:  19564208     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To verify the usefulness of an ultrasonic scalpel for the sealing of lymphatic ducts, a Harmonic Ace scalpel (Ethicon Endo-Surgery, Inc, Cincinnati, OH) was tested, using the thoracic ducts in pigs. Indocyanine green was injected into the abdominal lymphatic ducts in two pigs, and the stained thoracic ducts were identified. The thoracic ducts were then divided and sealed into seven sections with a Harmonic Ace scalpel, used at a power setting of level 3. The cut ends of the thoracic ducts were evaluated macroscopically, histologically, and by measuring bursting pressure. The whole length of thoracic duct of each pig was clearly imaged by pigment. Each stump divided by the ultrasonic scalpel was completely sealed, and there was no pigment leakage from the cut end macroscopically. Histologic examination revealed that the cut end was sealed by homogenous degenerative coagulation. Bursting pressures could be determined at three cut ends of thoracic ducts and were 195 mmHg, 188 mmHg, and 203 mmHg, respectively. The thoracic ducts were reliably divided and sealed by an ultrasonic scalpel in pigs. This device is expected to be a useful tool for the surgical treatment of chylothorax.
Authors:
Haruhiko Nakayama; Hiroyuki Ito; Yasufumi Kato; Masahiro Tsuboi
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Publication Detail:
Type:  Evaluation Studies; Journal Article     Date:  2009-06-29
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  9     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-08-18     Completed Date:  2009-10-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  399-401     Citation Subset:  IM    
Affiliation:
Division of Thoracic Surgery, Kanagawa Cancer Center, Yokohama 241-0815, Japan. nakayama-h@kcch.jp
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MeSH Terms
Descriptor/Qualifier:
Animals
Chylothorax / surgery
Electrocoagulation / adverse effects,  instrumentation*
Equipment Design
Male
Materials Testing
Models, Animal
Pressure
Surgical Instruments*
Swine
Thoracic Duct / pathology,  surgery*
Ultrasonic Therapy / adverse effects,  instrumentation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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