scholarly journals Harmonic Ace 7

2020 ◽  
Author(s):  
Keyword(s):  
2007 ◽  
Vol 177 (4S) ◽  
pp. 236-236
Author(s):  
Azhar Hafeez ◽  
Krishnamoorthy Rajbabu ◽  
Gordon Kooiman ◽  
Seshadri Sriprasad ◽  
Kilian Walsh ◽  
...  
Keyword(s):  

2015 ◽  
Vol 100 (3) ◽  
pp. 898-904 ◽  
Author(s):  
Moishe Liberman ◽  
Mohamed Khereba ◽  
Basil Nasir ◽  
Eric Goudie ◽  
Alain Danino ◽  
...  

2020 ◽  
pp. 1-7
Author(s):  
Erin E. Perrone ◽  
Laura A. Galganski ◽  
Alice F. Tarantal ◽  
Katie J. Olstad ◽  
Marjorie C. Treadwell ◽  
...  

<b><i>Introduction:</i></b> Open fetal surgery requires a hemostatic hysterotomy that minimizes membrane separation. For over 30 years, the standard of care for hysterotomy in the gravid uterus has been the AutoSuture Premium Poly CS*-57 stapler. <b><i>Objective:</i></b> In this study, we sought to test the feasibility of hysterotomy in a rhesus monkey model with the Harmonic ACE®+7 Shears. <b><i>Methods:</i></b> A gravid rhesus monkey underwent midgestation hysterotomy at approximately 90 days of gestation (2nd trimester; term = 165 ± 10 days) using the Harmonic ACE®+7 Shears. A two-layer uterine closure was completed and the dam was monitored by ultrasound intermittently throughout the pregnancy. At 58 days after hysterotomy (near term), a final surgery was performed to evaluate the uterus and hysterotomy site. <b><i>Results:</i></b> A 3.5-cm hysterotomy was completed in 2 min 7 s. The opening was hemostatic and the membranes were sealed. Immediately after closure and throughout the pregnancy, ultrasound revealed intact membranes without separation and normal amniotic fluid levels. At term, the scar was well healed without signs of thinning or dehiscence. <b><i>Conclusions:</i></b> The Harmonic ACE®+7 Shears produced a hemostatic midgestation hysterotomy with membrane sealing in the rhesus monkey model. Importantly, healing was acceptable.


2015 ◽  
Vol 25 (10) ◽  
pp. 1944-1946
Author(s):  
Radwan Kassir ◽  
Pierre Blanc ◽  
Patrice Lointier ◽  
Christophe Breton ◽  
Olivier Tiffet

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P132-P132
Author(s):  
Sasa Janjanin ◽  
Drago Prgomet ◽  
Bilic Mario ◽  
Prstacic Ratko

Objectives The harmonic scalpel cuts and coagulates simultaneously using a mechanical vibration. We present our 1-year experience in the use Harmonic ACE(tm), Harmonic FOCUS(tm) and harmonic scalpel with 5 mm curved blade in head and neck surgery (Ethicon Endo-Surgery). Methods Over period of 1 year we performed 295 thyroidectomies, 23 parotidectomies, and 45 tonsillectomies using the harmonic scalpel. Control group consisted of 106 thyroidectomies, 9 parotidectomies, and 30 tonsillectomies that were performed over previous 5 months with the use of conventional hemostatic techniques (electrocautery and knot tying). Results The use of the harmonic scalpel shortened the duration of thyroid and parotid surgery by 20–30% as compared with the conventional techniques (p<0.05). The average skin incision length for those undergoing thyroidectomy with the harmonic scalpel was 1.8 cm shorter as compared with the conventional thyroidectomy group (p<0.05). Because of small skin incisions in thyroidectomy we preferred Harmonic ACE(tm) over Harmonic FOCUS(tm) due to longer shaft of scalpel, while Harmonic FOCUS(tm) was more suitable for parotidectomy. The use of Harmonic ACE(tm) shortened average duration of tonsillectomy by 5.5 minutes, while use of 5 mm curved blade (HF 105) did not affect significantly the average duration of tonsillectomy. Postoperative pain and complication rate were comparable for both groups (p>0.05). Conclusions The use of the harmonic scalpel reduces surgical time and intraoperative blood loss in head and neck procedures, and enables shorter incision length in thyroid surgery.


2009 ◽  
Vol 119 (10) ◽  
pp. 1906-1912 ◽  
Author(s):  
Dawn B. Sharp ◽  
John R. Newman ◽  
J. Scott Magnuson

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