Evidence map›Paper›PMID 34277239›Full record

ReviewCureus2021

The Outcomes of the Patients Undergoing Harmonic Scalpel Laparoscopic Cholecystectomy.

Amudhan Kannan, Anjli Tara, Huma Quadir, Knkush Hakobyan, Mrunanjali Gaddam, Ugochi Ojinnaka, Zubayer Ahmed, Jerry Lorren Dominic, Ketan Kantamaneni, Terry R Went and 1 more

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 2 countries.

Amudhan KannanGeneral Surgery, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Anjli TaraGeneral Surgery, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Huma QuadirInternal Medicine/Family Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Knkush HakobyanDiagnostic Radiology, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Mrunanjali GaddamInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Ugochi OjinnakaFamily Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Zubayer AhmedInternal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Jerry Lorren DominicGeneral Surgery, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Ketan KantamaneniVascular Surgery, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Terry R WentGeneral Surgery, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Jihan A MostafaPsychiatry, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Parkland Health & Hospital System · USSouthampton Hospital · USCalifornia Institute of Behavioral Neurosciences and Psychology (United States) · USSouthampton General Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Laparoscopic cholecystectomy has replaced conventional open cholecystectomy and has become the gold standard surgery for gall bladder pathologies. The harmonic scalpel is one of the instruments used to dissect and coagulate. Most surgeons accept the usage of the harmonic scalpel in laparoscopic cholecystectomy. The other standard method is electrocoagulation by electrocautery. The harmonic scalpel cholecystectomy has several advantages over other methods of laparoscopic cholecystectomy. Electrocoagulation by electrocautery produces smoke which can result in damage to lateral tissues, including the gall bladder. The clips are used along with electrocoagulation to seal cystic duct and cystic artery before dissection. There are various studies about bile leakage in the case of clip application. The harmonic scalpel uses ultrasonic energy to achieve hemostasis without bleeding, dissection, and gallbladder removal from the liver bed during laparoscopic surgery by causing coagulation of proteins. The patient outcome variables such as postoperative pain, duration of hospital stay, postoperative nausea and vomiting, surgical site infections, and other complications have not been compared in review articles. In this review, we collected the information from previously published studies and reviewed the outcomes of patients undergoing harmonic scalpel cholecystectomy. Harmonic scalpel cholecystectomy reduces the duration of hospital stay, duration of operation, intraoperative and postoperative complications, and postoperative pain. Thus the harmonic scalpel can be used instead of other instruments as it has better patient outcomes.

Indexed as

clip-less cholecystectomyconventional laparoscopic cholecystectomyharmonic scalpellaparoscopic cholecystectomypatient outcomes

Identifiers

PMID34277239
PMCPMC8275056
OpenAlexW3173055756

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.