A comparison of electrothermal bipolar vessel sealing system and electrocautery in selective neck dissection

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dc.contributor.authorOzturk, Kerem
dc.contributor.authorKaya, Isa
dc.contributor.authorTurhal, Goksel
dc.contributor.authorOzturk, Arin
dc.contributor.authorGursan, Gulce
dc.contributor.authorAkyildiz, Serdar
dc.date.accessioned2019-10-27T11:25:04Z
dc.date.available2019-10-27T11:25:04Z
dc.date.issued2016
dc.departmentEge Üniversitesien_US
dc.description.abstractThe use of LigaSure (TM) vessel sealing system in head and neck surgery was reported to be reliable and safe, providing sufficient hemostasis and reducing operating time. The aim of this study was to evaluate efficacy of this technique in patients undergoing selective neck dissections. This study was carried out as a prospective controlled study at an otolaryngology department of a tertiary medical center between July 2013 and July 2015. Twenty-five patients older than 18 years who underwent unilateral selective neck dissection for head and neck cancer were included in the study. In the control group (group 2, 10 patients) only monopolar and bipolar diathermy was used; in the Ligasure group (group 1, 15 patients) Ligasure was used for hemostasis and dissection in addition to the conventional techniques. Cervical lymphadenectomy time, operation time, preoperative hemoglobin levels, preoperative hematocrit levels, postoperative hemoglobin levels, postoperative hematocrit levels, total neck drainage and drain removal time were analyzed and compared between the groups. Median operation time in group 1 and 2 were 95 min (IQR = 35) and 142.5 min (IQR = 63), respectively. Median cervical lymphadenectomy time in group 1 and 2 were 55 min (IQR = 23) and 102.5 min (IQR = 49), respectively. Median operation time and cervical operation time were significantly lower in group 1 (p < 0.05). In conclusion, LigaSure (TM) vessel sealing system is a safe, efficacious technique and significantly lowers cervical lymphadenectomy and operation time in selective neck dissections compared to controls. Given the superb hemostatic properties, this technique should be in the surgeon's armamentarium when possible.en_US
dc.identifier.doi10.1007/s00405-016-3999-0en_US
dc.identifier.endpage3838en_US
dc.identifier.issn0937-4477
dc.identifier.issn1434-4726
dc.identifier.issue11en_US
dc.identifier.pmid27007131en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage3835en_US
dc.identifier.urihttps://doi.org/10.1007/s00405-016-3999-0
dc.identifier.urihttps://hdl.handle.net/11454/33352
dc.identifier.volume273en_US
dc.identifier.wosWOS:000385202600046en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofEuropean Archives of Oto-Rhino-Laryngologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLigasureen_US
dc.subjectVessel sealingen_US
dc.subjectNeck dissectionen_US
dc.subjectBipolar diathermyen_US
dc.subjectElectrocauteryen_US
dc.titleA comparison of electrothermal bipolar vessel sealing system and electrocautery in selective neck dissectionen_US
dc.typeArticleen_US

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