Comparison of thermal spread after ureteral ligation with the Laparo-sonic™ ultrasonic shears and the Ligasure™ system

Sharon L. Goldstein, Kristi L. Harold, Alan Lentzner, Brent D. Matthews, Kent W. Kercher, Ronald F. Sing, Broc Pratt, Edward H. Lipford, B. Todd Heniford

Research output: Contribution to journalArticlepeer-review

71 Scopus citations

Abstract

Background and Purpose: The extent of lateral spread of tissue injury is important in the success of a primary anastomosis. We compared the injury produced by the Laparo-sonic™ Coagulation Shears and the Ligasure™ system. Materials and Methods: Ureters were harvested from domestic farm pigs and ligated with the Laparo-sonic (N = 13) or Ligasure (N = 9) system. The tissues were then fixed, stained, and examined by two pathologists without knowledge of the type of treatment. Results: The mean length of thermal damage from the Ligasure was 2.11 mm (range 1.0-4.0 mm) whereas it was 1.92 (range 0.5-4.25 mm) from the Laparo-sonic system. The difference is not statistically significant. Conclusion: Debridement of as much as 5 mm of each cut end produced by the Laparo-sonic or Ligasure system may be beneficial in reducing stricture and leak.

Original languageEnglish (US)
Pages (from-to)61-63
Number of pages3
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques - Part A
Volume12
Issue number1
DOIs
StatePublished - Jan 1 2002

ASJC Scopus subject areas

  • Surgery

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