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Blunt Dissection

The Experts below are selected from a list of 282 Experts worldwide ranked by ideXlab platform

F W Schildberg – 1st expert on this subject based on the ideXlab platform

  • a comparison of different techniques for liver resection Blunt Dissection ultrasonic aspirator and jet cutter
    Ejso, 1995
    Co-Authors: H. M. Schardey, E Buttler, Christoph Reuter, T. U. Cohnert, F W Schildberg

    Abstract:

    In a prospective study 116 patients underwent liver resection. Three different resection techniques, Blunt Dissection ( n = 61), ultrasonic aspirator (CUSA) ( n = 27) and jet-cutter ( n = 28) were compared. Speed of resection, blood loss, transfusion rate, liver hilus clamping time and tissue damage were evaluated on the basis of area of transected liver surface. Liver resection with the jet-cutter was significantly faster with a resection time of 0.33 mm/cm 2 in comparison to Blunt Dissection (0.57 min/cm 2 ) and CUSA (0.50 min/cm 2 ) ( P 2 ( P 2 , CUSA 24.3 ml/cm 2 ). Tissue damage with respect to transaminases SGOT and SGPT was comparable to the other techniques. The jet-cutter is a promising new instrument in liver surgery.

  • A comparison of different techniques for liver resection: Blunt Dissection, ultrasonic aspirator and jet-cutter
    European Journal of Surgical Oncology, 1995
    Co-Authors: H G Rau, H. M. Schardey, E Buttler, Christoph Reuter, T. U. Cohnert, F W Schildberg

    Abstract:

    In a prospective study 116 patients underwent liver resection. Three different resection techniques, Blunt Dissection (n = 61), ultrasonic aspirator (CUSA) (n = 27) and jet-cutter (n = 28) were compared. Speed of resection, blood loss, transfusion rate, liver hilus clamping time and tissue damage were evaluated on the basis of area of transected liver surface. Liver resection with the jet-cutter was significantly faster with a resection time of 0.33 mm/cm2 in comparison to Blunt Dissection (0.57 min/cm2) and CUSA (0.50 min/cm2) (P < 0.01) and associated with lower blood loss of 17.7 ml/cm2 (P < 0.01) than the other techniques (Blunt Dissection 32.5 ml/cm2, CUSA 24.3 ml/cm2). Tissue damage with respect to transaminases SGOT and SGPT was comparable to the other techniques. The jet-cutter is a promising new instrument in liver surgery. © 1995 W.B. Saunders Company Limited.

Heikki Löppönen – 2nd expert on this subject based on the ideXlab platform

  • Post-tonsillectomy pain: a prospective, randomised and double-blinded study to compare an ultrasonically activated scalpel technique with the Blunt Dissection technique
    Anaesthesia, 2001
    Co-Authors: E. I. Akural, P. T. Koivunen, H. Teppo, Seppo Alahuhta, Heikki Löppönen

    Abstract:

    Thirty-two patients participated in a study to compare the use of an ultrasonically activated scalpel (Harmonic scalpel) for tonsillectomy on one side and a Blunt Dissection tonsillectomy on the other. Pain scores at rest and on swallowing expressed as the area under curves (AUC) during the 10 h after surgery, intra-operative blood loss and the need for electrocoagulation for haemostasis were significantly higher on the Blunt Dissection side than on the Harmonic scalpel side (p 

  • post tonsillectomy pain a prospective randomised and double blinded study to compare an ultrasonically activated scalpel technique with the Blunt Dissection technique
    Anaesthesia, 2001
    Co-Authors: E. I. Akural, P. T. Koivunen, H. Teppo, Seppo Alahuhta, Heikki Löppönen

    Abstract:

    Thirty-two patients participated in a study to compare the use of an ultrasonically activated scalpel (Harmonic scalpel) for tonsillectomy on one side and a Blunt Dissection tonsillectomy on the other. Pain scores at rest and on swallowing expressed as the area under curves (AUC) during the 10 h after surgery, intra-operative blood loss and the need for electrocoagulation for haemostasis were significantly higher on the Blunt Dissection side than on the Harmonic scalpel side (p < 0.05). However, pain scores expressed as AUC at rest, on swallowing, the day's least, average and worst levels of pain, and the day's worst otalgia during the second week after surgery were significantly higher on the Harmonic scalpel side than on the Blunt Dissection side. In conclusion, we found that Harmonic scalpel tonsillectomy was associated with decreased severity in pharyngeal pain on the day of the operation but increased pharyngeal pain and otalgia during the second postoperative week.

H. M. Schardey – 3rd expert on this subject based on the ideXlab platform

  • a comparison of different techniques for liver resection Blunt Dissection ultrasonic aspirator and jet cutter
    Ejso, 1995
    Co-Authors: H. M. Schardey, E Buttler, Christoph Reuter, T. U. Cohnert, F W Schildberg

    Abstract:

    In a prospective study 116 patients underwent liver resection. Three different resection techniques, Blunt Dissection ( n = 61), ultrasonic aspirator (CUSA) ( n = 27) and jet-cutter ( n = 28) were compared. Speed of resection, blood loss, transfusion rate, liver hilus clamping time and tissue damage were evaluated on the basis of area of transected liver surface. Liver resection with the jet-cutter was significantly faster with a resection time of 0.33 mm/cm 2 in comparison to Blunt Dissection (0.57 min/cm 2 ) and CUSA (0.50 min/cm 2 ) ( P 2 ( P 2 , CUSA 24.3 ml/cm 2 ). Tissue damage with respect to transaminases SGOT and SGPT was comparable to the other techniques. The jet-cutter is a promising new instrument in liver surgery.

  • A comparison of different techniques for liver resection: Blunt Dissection, ultrasonic aspirator and jet-cutter
    European Journal of Surgical Oncology, 1995
    Co-Authors: H G Rau, H. M. Schardey, E Buttler, Christoph Reuter, T. U. Cohnert, F W Schildberg

    Abstract:

    In a prospective study 116 patients underwent liver resection. Three different resection techniques, Blunt Dissection (n = 61), ultrasonic aspirator (CUSA) (n = 27) and jet-cutter (n = 28) were compared. Speed of resection, blood loss, transfusion rate, liver hilus clamping time and tissue damage were evaluated on the basis of area of transected liver surface. Liver resection with the jet-cutter was significantly faster with a resection time of 0.33 mm/cm2 in comparison to Blunt Dissection (0.57 min/cm2) and CUSA (0.50 min/cm2) (P < 0.01) and associated with lower blood loss of 17.7 ml/cm2 (P < 0.01) than the other techniques (Blunt Dissection 32.5 ml/cm2, CUSA 24.3 ml/cm2). Tissue damage with respect to transaminases SGOT and SGPT was comparable to the other techniques. The jet-cutter is a promising new instrument in liver surgery. © 1995 W.B. Saunders Company Limited.