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Inicio Revista Española de Cirugía Ortopédica y Traumatología (English Edition) Experience in the Use of Ultrasonic Scalpels in Orthopaedic Surgery
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Vol. 54. Issue 5.
Pages 306-309 (September - October 2010)
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Vol. 54. Issue 5.
Pages 306-309 (September - October 2010)
Clinical note
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Experience in the Use of Ultrasonic Scalpels in Orthopaedic Surgery
Experiencia en la utilización de bisturí de ultrasonidos en cirugía ortopédica
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E. López-Anglada Fernández
Corresponding author
elanglada@gmail.com

Corresponding author.
, A. Braña Vigil
Orthopaedic Surgery and Traumatology Department, Asturias Central University Hospital, Oviedo, Spain
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Article information
Abstract
Objective

To compare the effects using the monopolar electric and ultrasonic scalpel on muscle tissue in oncological surgery.

Material and method

Muscle tissue samples were collected from 6 patients. Two samples were obtained from each one of them: one using an electric scalpel and another with an ultrasonic scalpel, which then analysed in histopathology.

Results

Less necrosis and better tissue viability was observed in the areas cut with the ultrasonic scalpel compared to the areas where the electric scalpel was used.

Conclusions

The ultrasonic scalpel has a cutting capacity and haemostasis comparable to the electric scalpel, causing less damage to the tissue on which it is applied.

Keywords:
Ultrasonic scalpel
Surgery
Haemostasis
Bleeding
Resumen
Objetivo

Comparar el efecto de la aplicación del bisturí eléctrico monopolar y el de ultrasonidos sobre el tejido muscular en cirugía oncológica.

Material y método

Se recogieron muestras de tejido muscular de 6 pacientes. En cada uno de ellos se obtuvieron 2 muestras: una mediante corte con bisturí eléctrico y otra con bisturí de ultrasonidos que se analizaron en anatomía patológica.

Resultados

Observamos una menor profundidad de necrosis y mejor viabilidad tisular en las zonas de corte con bisturí de ultrasonidos, respecto a las zonas en las que se empleó el bisturí eléctrico.

Conclusión

El bisturí de ultrasonidos proporciona una capacidad de corte y hemostasia comparable a la del bisturí eléctrico, ocasionando un menor daño a los tejidos sobre los que se aplica.

Palabras clave:
Bisturí ultrasonidos
Cirugía
Hemostasia
Sangrado
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Copyright © 2010. Sociedad Española de Cirugía Ortopédica y Traumatología (SECOT). All rights reserved
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