ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Toshiya Ohtsuka
Shinichi Takamoto
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Inaba, H.
Right arrow Articles by Takamoto, S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Inaba, H.
Right arrow Articles by Takamoto, S.

Ann Thorac Surg 2000;69:1399-1401
© 2000 The Society of Thoracic Surgeons

Original articles: Cardiovascular

Minimal damage during endoscopic latissimus dorsi muscle mobilization with the harmonic scalpel

Hirotaka Inaba, MDa, Yukihiro Kaneko, MDa, Toshiya Ohtsuka, MDa, Masahiko Ezure, MDa, Keita Tanaka, MDa, Katsuhito Ueno, MDa, Shinichi Takamoto, MDa

a Department of Cardiothoracic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan

Address reprint requests to Dr Inaba, Department of Cardiothoracic Surgery, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan

Background. To reduce wound-related complications, a video-assisted surgical technique has been adopted for the mobilization of the latissimus dorsi muscle. We postulated that thermal damage to the muscle might be minimized by using a Harmonic Scalpel instead of electrocautery during this procedure.

Methods. Canine latissimus dorsi muscles were mobilized through a small incision, assisted by a videoscope. In 6 dogs, dissection with electrocautery was used to mobilize the latissimus dorsi muscle. In 6 other dogs, the Harmonic Scalpel was used. We compared operation times, wound infection rates, histologic changes in the muscles, and ease of handling between these groups.

Results. The operation time was significantly shorter in the Harmonic Scalpel group than in the electrocautery group (61.5 versus 106.5 minutes, p = 0.00014). The Harmonic Scalpel caused less histologic damage to the mobilized muscles and produced less vision-obscuring smoke.

Conclusions. The Harmonic Scalpel shortens the operation, minimizes muscle damage, and facilitates the performance of video-assisted latissimus dorsi muscle mobilization.




This article has been cited by other articles:


Home page
 Arch Facial Plast SurgHome page
S. Ahmed, D. Sidell, K. E. Blackwell, J. A. Sercarz, E. Abemayor, and V. Nabili
The Use of Ultrasonic Shears for the Harvest of Perforator Free Flaps
Arch Facial Plast Surg, September 1, 2009; 11(5): 343 - 346.
[Abstract] [Full Text] [PDF]

Home page
 ICVTSHome page
S. D. Demertzis, M. W. Laschke, F. P.A. Siclari, and M. D. Menger
Non-robotic thoracoscopic internal mammary artery preparation in the pig. A training model
Interactive CardioVascular and Thoracic Surgery, August 1, 2008; 7(4): 556 - 559.
[Abstract] [Full Text] [PDF]

Home page
 Arch SurgHome page
A. E. Siperstein, E. Berber, and E. Morkoyun
The Use of the Harmonic Scalpel vs Conventional Knot Tying for Vessel Ligation in Thyroid Surgery
Arch Surg, February 1, 2002; 137(2): 137 - 142.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
P. Lamm, G. Juchem, A. Schutz, and B. Reichart
Is the harmonic scalpel feasible in cardiac reoperations?
Ann. Thorac. Surg., December 1, 2001; 72(6): 2185 - 2185.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2000 by The Society of Thoracic Surgeons.