Comparison of Monopolar Electrocautery Versus Harmonic Scalpel in Dissection of The Gall Bladder from Gallbladder Bed in Laparoscopic Cholecystectomy

Abstract

Objective: The objective of this study was to compare the incidence of gall bladder perforation during its
dissection with monopolar electrocautery Vs harmonic scalpel from liver bed in laparoscopic cholecystectomy.
Method: It was a comparative study held at Surgical Department, surgical department, Services Hospital,
Lahore to check the incidence of gallbladder perforation and difference in duration of procedure during gall
bladder dissection with harmonic versus monopolar electrocautery. Total 144 patients under laparoscopic
cholecystectomy for symptomatic gall stone disease in surgical department of Services Hospital, Lahore
were included in this study and divided in two groups. In group A gall bladder dissection was done with
monopolar electrocautery while in group B harmonic scalpel was used.
Results: Incidence of perforation in laparoscopic cholecystectomy done with monopolar electrocautery and
harmonic scalpel was 16.6 % vs 15.3% and operative time was 46.38±14.04 minutes vs 19.36± 4.96 minutes.
Conclusion: Incidence of perforation of gall bladder is almost equal during its dissection from liver bed
when done either with monopolar electrocautery or harmonic scalpel with the duration of procedure making
the difference between the two groups.

How to cite: Butt MJ, Iftikhar MA, Rahman UA, Yousaf H, Ahmed I, Asad A. Comparison of Monopolar Electrocautery Versus
Harmonic Scalpel in Dissection of The Gall Bladder from Gallbladder Bed in Laparoscopic Cholecystectomy. Esculapio - JSIMS
2022;18(02):322-325
DOI: https://doi.org/10.51273/esc22.251826