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Hemostasis with the ultrasonically activated scalpel

Effective substitute for electrocautery in surgical patients with pacemakers

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Abstract.

In patients with implanted pacemaker/cardioverter defibrillator (ICD), the use of electrocautery can lead to serious pacemaker dysfunction. The ultrasonically activated scalpel, however, which has been introduced mainly for the use in laparoscopic surgery, could potentially avoid the outlined problem, since no electrical current flows while in use. This hypothesis was tested in a pacemaker patient undergoing laparoscopic cholecystectomy. During the procedure, no abnormal rhythms or ECG interferences were detected while working in close vicinity to the device. Thus, the ultrasonically activated scalpel provides adequate hemostasis and does not bear the risk of pacemaker dysfunction.

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Authors and Affiliations

  1. Department of General Surgery, University Hospital Hamburg, Martinistrasse 52, D-20246 Hamburg, Germany, DE

    T. Strate, C. Bloechle & J. R. Izbicki

  2. Department of Hepato-Biliary and Transplant Surgery, University Hospital Hamburg, Martinistrasse 52, D-20246 Hamburg, Germany, DE

    D. Broering & X. Rogiers

  3. Department of Internal Medicine-Cardiology, University Hospital Hamburg, Martinistrasse 52, D-20246 Hamburg, Germany, DE

    A. Schuchert

Authors
  1. T. Strate
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  2. C. Bloechle
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  3. D. Broering
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  4. A. Schuchert
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  5. J. R. Izbicki
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  6. X. Rogiers
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Additional information

Received: 12 January 1999/Accepted: 20 January 1999

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Strate, T., Bloechle, C., Broering, D. et al. Hemostasis with the ultrasonically activated scalpel. Surg Endosc 13, 727 (1999). https://doi.org/10.1007/s004649901084

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  • DOI: https://doi.org/10.1007/s004649901084

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