The effects of scalpel, harmonic scalpel and monopolar electrocautery on the healing of colonic anastomosis after colonic resection

dc.contributor.authorKaraca, Gokhan
dc.contributor.authorPekcici, M. Recep
dc.contributor.authorAltunkaya, Canan
dc.contributor.authorFidanci, Vildan
dc.contributor.authorKilinc, Aytul
dc.contributor.authorOzer, Huseyin
dc.contributor.authorGuler, Osman
dc.date.accessioned2020-06-25T18:16:30Z
dc.date.available2020-06-25T18:16:30Z
dc.date.issued2016
dc.departmentKırıkkale Üniversitesi
dc.description.abstractPurpose: In our study, the effects of harmonic scalpel, scalpel, and monopolar electrocautery usage on the health and healing of colon anastomosis after resection was investigated. Methods: In this study, 120 female albino Wistar rats were divided into 3 groups each containing 40 rats. Group A, resection with scalpel; group B, resection with monopolar electrocautery; group C, resection with harmonic scalpel. The groups were divided into 4 subgroups consisting of 10 rats and analysed in the postoperative 1st, 3rd, 5th, and 7th days. Anastomotic bursting pressures, hydroxyproline levels and histopathological parameters were surrogate parameters for evaluating wound healing. Results: The tissue hydroxyproline levels did not show any significant difference between the groups and subgroups. The mean bursting pressure of group A on the 5th day was significantly higher than groups B and C (P < 0.001). When the fibroblast and fibrosis scores were evaluated, scores of group C on the 5th day were significantly higher than the other groups, but the results of bursting pressures and biochemical parameters did not support the fibroblast and fibrosis scores. There were not any significant differences between the groups in other histopathologic parameters. Conclusion: The use of monopolar electrocautery needs more attention since the device causes tissue destruction. The obliterating effect of harmonic scalpel on luminal organs is an important problem, especially if an anastomosis is planned. Despite the disadvantages of scalpel, its efficacy on early wound healing is better than the other devices.en_US
dc.identifier.citationKaraca, G., Pekcici, M. R., Altunkaya, C., Fidanci, V., Kilinc, A., Ozer, H., Tekeli, A., Aydinuraz, K., & Guler, O. (2016). The effects of scalpel, harmonic scalpel and monopolar electrocautery on the healing of colonic anastomosis after colonic resection. Annals of surgical treatment and research, 90(6), 315–321.en_US
dc.identifier.doi10.4174/astr.2016.90.6.315
dc.identifier.endpage321en_US
dc.identifier.issn2288-6575
dc.identifier.issn2288-6796
dc.identifier.issue6en_US
dc.identifier.pmid27274507
dc.identifier.scopus2-s2.0-84973126945
dc.identifier.scopusqualityQ2
dc.identifier.startpage315en_US
dc.identifier.urihttps://doi.org/10.4174/astr.2016.90.6.315
dc.identifier.urihttps://hdl.handle.net/20.500.12587/6548
dc.identifier.volume90en_US
dc.identifier.wosWOS:000376950400004
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherKorean Surgical Societyen_US
dc.relation.ispartofAnnals Of Surgical Treatment And Research
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectElectrosurgeryen_US
dc.subjectSurgical anastomosisen_US
dc.subjectColonen_US
dc.subjectAnastomosis healingen_US
dc.titleThe effects of scalpel, harmonic scalpel and monopolar electrocautery on the healing of colonic anastomosis after colonic resectionen_US
dc.typeArticle

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