PAKISTAN ARMED FORCES
MEDICAL JOURNAL (Category Y)

A Journal of Army Medical & Dental Corps

Being published since 1956

ISSN (online) 2411-8842
ISSN (print) 0030-9648

VOL 68, No. 2, APRIL 2018

COMPARISON OF MEAN BLOOD LOSS USING HARMONIC SCALPEL AND MONOPOLAR ELECTROCAUTRY IN MODIFIED RADICAL MASTECTOMY

Rizwan Ahmed, Amir Hussain*, Muhammad Zill-e-Humayon, Omer Bin Abdul Aziz**, Irfan Shukr***, Komal Asgher****

Abstract

Objective: The objective of this study was to compare the mean per operative and post operative blood loss using harmonic scalpel and monopolar electrocautry in modified radical mastectomy.
Study Design: Randomized controlled trial.
Place and Duration of Study: Department of surgery PNS Shifa Karachi, from 25th Oct 2011 to 24th Apr 2012.
Material and Methods: A total of 64 patients, undergoing Modified Radical Mastectomy (MRM) were randomly divided into two groups of 32 patients each, using random numbers table. Dissection in group A was done using Harmonic Scalpel (HS). Group B underwent Monopolar Electrocautry (ME) for dissection and hemostasis. Mean per and post operative blood loss was calculated in milliliters.
Results: Mean per operative and post operative blood loss using harmonic scalpel (group-A) was 121.19 ± 5.63 ml while 603.35 ± 8.04 ml loss was recorded in monopolar electrocautry group (group B). A p-value was calculated as <0.001 which shows a significant difference between both the groups.
Conclusion: The mean per and post operative blood loss using harmonic scalpel is significantly less than using monopolar electrocautry in modified radical mastectomy.

Keywords : Modified radical mastectomy, Monopolar electrocautry, Per operative, Post operative blood loss, Harmonic scalpel.



Creative Commons License
This is an Open Access article distributed under the terms of the Creative Commons Attribution License Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.