The effects of scalpel, harmonic scalpel and monopolar electrocautery on the healing of colonic anastomosis after colonic resection

Gökhan Karaca; M. Recep Pekcici; Canan Altunkaya; Vildan Fidanci; Aytul Kilinc; Huseyin Ozer; Ahmet Tekeli; Kuzey Aydinuraz; Osman Guler

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자료유형: 학술저널

저자정보: Gökhan Karaca (Ankara Education and Research Hospital) M. Recep Pekcici (Ankara Education and Research Hospital) Canan Altunkaya (Ankara Education and Research Hospital) Vildan Fidanci (Ankara Education and Research Hospital) Aytul Kilinc (Ankara Education and Research Hospital) Huseyin Ozer (Ankara Education and Research Hospital) Ahmet Tekeli (Yil University) Kuzey Aydinuraz (Kirikkale University Medical Faculty) Osman Guler (Ankara Education and Research Hospital)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.90 No.6

발행연도: 2016.5

수록면: 315 - 321 (7page)

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Purpose: In our study, the effects of harmonic scalpel, scalpel, and monopolar electrocautery usage on the health and healing of colon anastomosis after resection was investigated.
Methods: In this study, 120 female albino Wistar rats were divided into 3 groups each containing 40 rats. Group A, resection with scalpel; group B, resection with monopolar electrocautery; group C, resection with harmonic scalpel. The groups were divided into 4 subgroups consisting of 10 rats and analysed in the postoperative 1st, 3rd, 5th, and 7th days. Anastomotic bursting pressures, hydroxyproline levels and histopathological parameters were surrogate parameters for evaluating wound healing.
Results: The tissue hydroxyproline levels did not show any significant difference between the groups and subgroups. The mean bursting pressure of group A on the 5th day was significantly higher than groups B and C (P < 0.001). When the fibroblast and fibrosis scores were evaluated, scores of group C on the 5th day were significantly higher than the other groups, but the results of bursting pressures and biochemical parameters did not support the fibroblast and fibrosis scores. There were not any significant differences between the groups in other histopathologic parameters.
Conclusion: The use of monopolar electrocautery needs more attention since the device causes tissue destruction. The obliterating effect of harmonic scalpel on luminal organs is an important problem, especially if an anastomosis is planned. Despite the disadvantages of scalpel, its efficacy on early wound healing is better than the other devices.

#Electrosurgery #Surgical anastomosis #Colon #Anastomosis healing

참고문헌 (22)

참고문헌 신청

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[학술지(정기간행물)] - Tasdelen A. / 2004 / Effect of leptin on healing of colonic anastomoses in rats / Hepatogastroenterology 51 : 994 ~ 997

[학술지(정기간행물)] - Shandall A. / 1985 / Colonic anastomotic healing and oxygen tension / Br J Surg 72 : 606 ~ 609

[학술지(정기간행물)] - Parra-Membrives P. / 2007 / Effect of pentoxifylline on the healing of ischemic colorectal anas to moses / Dis Colon Rectum 50 : 369 ~ 375

[학술지(정기간행물)] - Verhofstad MH. / 1994 / Diabetes impairs the development of early strength, but not the accumulation of collagen, during intestinal anastomotic healing in the rat / Br J Surg 81 : 1040 ~ 1045

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