ReviewJournal of obstetrics and gynaecology of India2015
Surgical Efficacy Among Laparoscopic Ultrasonic Dissectors: Are We Advancing Safely? A Review of Literature.
Review in Journal of obstetrics and gynaecology of India, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- An umbrella review of the surgical performance of Harmonic ultrasonic devices and impact on patient outcomes.BMC surgery · 2023Pooled it
- Use of High Energy Devices (HEDs) versus electrocautery for laparoscopic cholecystectomy: a systematic review and meta-analysis of randomised controlled trials.Surgical endoscopy · 2023Pooled it
- Laparoscopic Surgery and the debate on its safety during COVID-19 pandemic: A systematic review of recommendations.The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland · 2021Pooled it
- Performance of Harmonic devices in surgical oncology: an umbrella review of the evidence.World journal of surgical oncology · 2018Pooled it
- Comparative Clinical Effectiveness and Operating Efficiency of Different Ultrasonic Devices for Performance of Sleeve Gastrectomy.Obesity surgery · 2026Article
- Comparison of Y20 with GEN11CN (Harmonic HD 1000i) ultrasonic energy device for sealing 5-7 mm pulmonary vessels in thoracoscopic surgery: a multicenter, randomized, assessor- and statistician-blinded, noninferiority trial.Journal of thoracic disease · 2026Article
- Comparative in vivo assessment of surgical smoke particle exposure from different energy modalities during gynecologic laparoscopy.Archives of gynecology and obstetrics · 2026Article
- Harmonic Scalpel Versus Monopolar Electrotome in Endoscopic-Assisted Transaxillary Dual-Plane Augmentation Mammaplasty: A Retrospective Study in 122 Patients.Aesthetic plastic surgery · 2024Article
- Comparison of fiber-optic linear beam shaping designs for laparoscopic laser sealing of vascular tissues.Optical engineering (Redondo Beach, Calif.) · 2022Article
- Ultrasonic dissection versus electrocautery for immediate prosthetic breast reconstruction.Archives of plastic surgery · 2020Article
- Safety Profile of the New Harmonic Focus: Different Emissivity and Temperature Behavior Between the Active and the Inactive Blade.Surgical laparoscopy, endoscopy & percutaneous techniques · 2019Article
- Laparoscopic ultrasonic dissectors: technology update by a review of literature.Medical devices (Auckland, N.Z.) · 2019Review
- Reciprocating Side-Firing Fiber for Laser Sealing of Blood Vessels.Proceedings of SPIE--the International Society for Optical EngineeringArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The specialty of laparoscopy has evolved with the advent of new technologies over the last few years. Energy-based devices and Ultrasonic dissectors are used with a lot of factors in play-including ergonomics and economics during surgery. Here an attempt is based to review the surgical efficacy and safety of these dissectors with importance to plume production and lateral thermal damage. The factors contributing to adversities to the dissectors are also to be noted. The strategy adopted was aimed at finding relevant studies from PubMed from 1995 to 2014. The basic principle of plume production and thermal damage are studied in this review. Factors contributing to the same that can lead to adversities during laparoscopic surgeries are identified. Summarizing key points that increase lateral thermal damage and plume production amongst different ultrasonic shears and suggesting a technique to identify the right balance between the existing dissectors was possible. The RF Device and USS are both useful and widely used and are more safer than monopolar devices. RF Device is considerably slower than USS, as it cannot achieve coagulation and cutting at the same time. Although USS definitely improvises dissection and has less thermal injury than RF Device, the clinical implications in balancing dissection efficacy with hemostasis need to be investigated further. The ideal haemostatic energy-based shear device would be one with excellent hemostatic results and visual acuity while allowing none or minimal thermal energy escape at the point of application. In our current setting, a combined use of both RF and USS device usage as applied in the particular situations has potential.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.