COMPARISON OF MEAN BLOOD LOSS USING HARMONIC SCALPEL AND MONOPOLAR ELECTROCAUTRY IN MODIFIED RADICAL MASTECTOMY
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 Kara...
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| Format: | Article |
| Language: | English |
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Army Medical College Rawalpindi
2018-04-01
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| Series: | Pakistan Armed Forces Medical Journal |
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| Online Access: | https://www.pafmj.org/index.php/PAFMJ/article/view/242/190 |
| _version_ | 1819236806483247104 |
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| author | Rizwan Ahmed, Amir Hussain Muhammad Zill-e- Humayon Omer Bin Abdul Aziz Irfan Shuk Komal Asgher |
| author_facet | Rizwan Ahmed, Amir Hussain Muhammad Zill-e- Humayon Omer Bin Abdul Aziz Irfan Shuk Komal Asgher |
| author_sort | Rizwan Ahmed, |
| collection | DOAJ |
| description | 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 |
| first_indexed | 2024-12-23T13:10:17Z |
| format | Article |
| id | doaj.art-f561b28f4b8d49169f2dd4e54f1cf374 |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-12-23T13:10:17Z |
| publishDate | 2018-04-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-f561b28f4b8d49169f2dd4e54f1cf3742022-12-21T17:45:46ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422018-04-01682221224COMPARISON OF MEAN BLOOD LOSS USING HARMONIC SCALPEL AND MONOPOLAR ELECTROCAUTRY IN MODIFIED RADICAL MASTECTOMYRizwan Ahmed,0Amir Hussain1Muhammad Zill-e- Humayon2Omer Bin Abdul Aziz3Irfan Shuk4Komal Asgher5Pakistan Naval Ship (PNS) Shifa Hospital Karachi PakistanCommand and Staff College Quetta PakistanPakistan Naval Ship (PNS) Shifa Hospital Karachi Pakistan,Combined Military Hospital Kohat Pakistan*Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanHQ Khyber Rifles Hospital Landi Kotal PakistanObjective: 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, Phttps://www.pafmj.org/index.php/PAFMJ/article/view/242/190modified radical mastectomymonopolar electrocautryper operativepost operative blood loss |
| spellingShingle | Rizwan Ahmed, Amir Hussain Muhammad Zill-e- Humayon Omer Bin Abdul Aziz Irfan Shuk Komal Asgher COMPARISON OF MEAN BLOOD LOSS USING HARMONIC SCALPEL AND MONOPOLAR ELECTROCAUTRY IN MODIFIED RADICAL MASTECTOMY Pakistan Armed Forces Medical Journal modified radical mastectomy monopolar electrocautry per operative post operative blood loss |
| title | COMPARISON OF MEAN BLOOD LOSS USING HARMONIC SCALPEL AND MONOPOLAR ELECTROCAUTRY IN MODIFIED RADICAL MASTECTOMY |
| title_full | COMPARISON OF MEAN BLOOD LOSS USING HARMONIC SCALPEL AND MONOPOLAR ELECTROCAUTRY IN MODIFIED RADICAL MASTECTOMY |
| title_fullStr | COMPARISON OF MEAN BLOOD LOSS USING HARMONIC SCALPEL AND MONOPOLAR ELECTROCAUTRY IN MODIFIED RADICAL MASTECTOMY |
| title_full_unstemmed | COMPARISON OF MEAN BLOOD LOSS USING HARMONIC SCALPEL AND MONOPOLAR ELECTROCAUTRY IN MODIFIED RADICAL MASTECTOMY |
| title_short | COMPARISON OF MEAN BLOOD LOSS USING HARMONIC SCALPEL AND MONOPOLAR ELECTROCAUTRY IN MODIFIED RADICAL MASTECTOMY |
| title_sort | comparison of mean blood loss using harmonic scalpel and monopolar electrocautry in modified radical mastectomy |
| topic | modified radical mastectomy monopolar electrocautry per operative post operative blood loss |
| url | https://www.pafmj.org/index.php/PAFMJ/article/view/242/190 |
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