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ISSN 2063-5346
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A comparitive study of monopolar electrocautery versus ultrasonic dissection of gallbladder in laparoscopic cholecystectomy

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Dr. Sai Vishwas, Dr. H.V Nerlekar, Dr. Pallavi Prakash
» doi: 10.31838/ecb/2023.12.si4.015

Abstract

Laparoscopic cholecystectomy is the standard of care for patients with symptomatic gallstone disease. The present study compared monopolar electrocautery and ultrasonic dissection of gallbladder in laparoscopic cholecystectomy. Materials & Methods:56 patients undergoing laparoscopic cholecystectomy of both genders were divided into 2 groups of 28 each. In group I, monopolar electrocautery was used and in group II, ultrasonic dissection of the gall-bladder was performed using Harmonic Ace curved shears. Parameters such as presenting symptoms, comorbidities, previous abdominal surgeries, complications were recorded. outcomes in the electrocautery and ultrasonic dissection groups was also recorded. Results: Group I had 14 males and 14 females and group II had 13 males and 15 females. The mean duration of surgery was 36.2 minutes in group I and 27.4 minutes in group II. Previous abdominal surgeries were seen in 2 and 3, comorbidities in 4 and 1 and complications in 6 and 10 in group I and II respectively. The difference was significant (P< 0.05). Conclusion: Ultrasonic dissection reduces the incidence of gallbladder perforation. It is safe and effective method in patient undergoing laparoscopic cholecystectomy

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