Document Detail

The harmonic scalpel: an intraoperative complication.
MedLine Citation:
PMID:  8841266     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The harmonic scalpel is an ultrasonically activated surgical instrument for tissue dissection. Despite its expanding surgical applications, there are no reports about associated complications. CASE: A 35-year-old woman sustained injury to the sigmoid colon from the use of the harmonic scalpel during laparoscopic lysis of pelvic adhesions. The injury was identified and repaired laparoscopically in a primary fashion with no subsequent sequelae. CONCLUSION: Acoustic energy coupling and overheating of the laparosonic 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.
J T Awwad; K Isaacson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  88     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1996 Oct 
Date Detail:
Created Date:  1996-11-08     Completed Date:  1996-11-08     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  718-20     Citation Subset:  AIM; IM    
Vincent Memorial Obstetrics and Gynecology Service, Massachusetts General Hospital, Harvard Medical School, Boston, USA.
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MeSH Terms
Colon, Sigmoid / injuries*
Laparoscopy / adverse effects*
Surgical Instruments / adverse effects*
Tissue Adhesions / surgery
Ultrasonics / adverse effects*

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

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