Neoplasms

All Conditions

Head and Neck Neoplasms

Harmonic Focus® Curved Shears (Ethicon Endo-Surgery, Cincinnati, OH) was used for vascular control of the surgery regardless of vessel diameter, except when hand-tied or suture ligation was needed for IJV ligation or in case bleeding was not controlled with electrocoagulation

electrocautery was used to control the small vessels and conventional hand-tied ligation was used for large sized arterial, venous, or lymphatic vessels.

The Harmonic Focus® Curved Shears (Ethicon Endo-Surgery, Cincinnati, OH) was used for vascular control of the surgery regardless of vessel diameter, except when hand-tied or suture ligation was needed for IJV ligation or in case bleeding was not controlled with electrocoagulation

Neck dissection with Harmonic scalpel

electrocautery was used to control the small vessels and conventional hand-tied ligation was used for large sized arterial, venous, or lymphatic vessels

neck dissection with conventional hand-tie ligation

Yoon Woo Koh, MD, PhD

Hyoung Shin Lee, MD

Recently, the HS has been used in head and neck surgery as an alternative to conventional hand-tied ligation for hemostasis, which is a time-consuming procedure. Limited data have been published on the evidence of its safety in ND, especially in radical ND. Researchers investigated the safety and efficacy of the Harmonic scalpel (HS) in neck dissection (ND), while using conventional hand-tied ligation to a minimum, in terms of operating time, blood loss, drainage and complications.

The Safety and Efficacy of the Harmonic Scalpel in Neck Dissection

The Safety and Efficacy of the Harmonic Scalpel in Neck Dissection : A Prospective Randomized Study

number of harvested lymph nodes counted from the lymphfatty tissue after neck dissection

major vessel laceration, major nerve injury, and penetration into adjacent vital structures such as trachea or esophagus

hemorrhage, hematoma, seroma, chylous leakage, and neurologic complications

The time from the first procedure after subplatysmal flap elevation to removal of neck dissection specimen will be measured

Estimated blood loss from the collection bottle for the suction drain (ml) will be measured

total amount of drainage is estimated from the collection bottle of closed drain(ml)

amount of drain collected in the drain bottle is estimated daily (ml)

Spots Global Cancer Trial Database for neck dissection with harmonic scalpel