Gallbladder Perforation with Conventional Monopolar Diathermy Versus Harmonic Scalpel in Laparoscopic Cholecystectomy at Combined Military Hospital, Quetta

Ghufran Ahmed; Imran Ashraf; Abdul Jabbar; Muhammad Ali Muazzam; Umair Ahmed; Amir Ali

doi:10.51253/pafmj.v72i5.3903

Authors

Ghufran Ahmed Combined Military Hospital Quetta/National University of Medical Sciences (NUMS) Pakistan
Imran Ashraf Combined Military Hospital Kharian/National University of Medical Sciences (NUMS) Pakistan
Abdul Jabbar Combined Military Hospital Badin/National University of Medical Sciences (NUMS) Pakistan
Muhammad Ali Muazzam Combined Military Hospital Quetta/National University of Medical Sciences (NUMS) Pakistan
Umair Ahmed Mountain Battalion, Pakistan
Amir Ali Combined Military Hospital Mangla/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v72i5.3903

Keywords:

Conventional monopolar diathermy, Gallbladder perforation, Harmonic scalpel, Laparoscopic cholecystectomy

Abstract

Objective: To estimate the frequency of gallbladder perforation with conventional Monopolar Diathermy versus Harmonic scalpel in laparoscopic cholecystectomy.

Study Design: Quasi-experimental study.

Place and Duration of Study: Department of Surgery, Combined Military Hospital, Quetta Pakistan, from Sep 2018 to Sep 2019.

Methodology: A total of 160 patients undergoing laparoscopic cholecystectomy for symptomatic gallstones were included in the study and were randomly allocated into two groups based on the surgical technique of dissecting gall bladder from the liver bed. In Group-A, Monopolar Diathermy was used, and in Group-B Harmonic scalpel was used. Frequency of gall bladder perforation and demographic details were recorded on predefined proforma.

Results: In our study, mean age was 48.21±8.94 years and 49.14±9.31 years in Group-A and Group-B respectively. Comparison of Gallbladder perforation in both groups showed 17(21.25%) cases in Group-A and 5(6.25%) cases in Group-B, (p-value <0.001).

Conclusion: In laparoscopic cholecystectomy, the frequency of gallbladder perforation with conventional monopolar diathermy is significantly higher compared to the harmonic scalpel.