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Application of Hemostatic Devices in Laparoscopic Hepatectomy
Published on: April 19, 2022
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Haemostatic devices in parotid surgery: a systematic review
L Allen1, C MacKay2, M H Rigby2
1Faculty of Medicine, QEII Health Sciences Centre, Dalhousie University, Halifax, Canada.
The Journal of Laryngology and Otology
|August 23, 2021
Summary
Hemostatic devices like the Harmonic Scalpel and Ligasure significantly reduce operating time, blood loss, and drain output during parotidectomy compared to traditional methods. Facial nerve outcomes and hospital stay were similar between the techniques.
Area of Science:
- Otolaryngology
- Surgical Technology
Background:
- Parotidectomy involves meticulous dissection of the facial nerve.
- Harmonic Scalpel and Ligasure are hemostatic devices frequently used in head and neck surgery.
Purpose of the Study:
- To compare surgical outcomes of parotidectomy using hemostatic devices versus traditional scalpel and cautery.
- Evaluate the efficacy and safety of Harmonic Scalpel and Ligasure in parotidectomy.
Main Methods:
- Systematic review and meta-analysis of seven comparative studies.
- Outcome measures included facial nerve paresis, operating time, blood loss, drain output, and hospital stay.
Main Results:
- Hemostatic devices were associated with reduced operating time, intra-operative blood loss, and post-operative drain output.
- No significant difference was observed in temporary facial paresis or length of hospital stay.
Conclusions:
- Hemostatic devices offer advantages in reducing operative time, blood loss, and drain output in parotidectomy.
- These devices represent a viable alternative to traditional methods for parotid gland surgery.

