• Journal of Chest Surgery
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• 제35권8호
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• pp.605-607
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• 2002

Harmonic Scalpel(Echicon Endo-Surgery Cincinnati, OH)은 초음파를 이용하여 근육자극이 전혀 없으며, 열이나 연기가 적게 나며, 지혈도 쉽고, 수술시야가 좋아서 수술에 많은 이점을 가지고 있다. 교착성 심막염 환자에서 심막절제술을 시행할 때 Harmonic Scalpel을 사용하여 도움이 되었기에 보고하는 바이다.

• 한국임상수의학회지
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• 제39권1호
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• pp.1-8
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• 2022

The current, retrospective study aimed to assess the short-term prognosis and postoperative complications associated with the surgical correction of elongated soft palate using harmonic scalpel and to compare the postoperative complications associated with the application of harmonic scalpel and traditional surgery using Metzenbaum scissors. Harmonic scalpel was used to perform staphylectomy in 21 dogs. A total of ten dogs underwent sacculectomy; six dogs with harmonic scalpel and four dogs using Metzenbaum scissors. Stenotic nares were corrected by wedge resection. Postoperative complications were recorded through monitoring and radiographic examinations. Telephone interviews were conducted on the first, third, and seventh day after discharge and continued until the resolution of postoperative complications. Postoperative edema at the surgical site was identified and mitigated within a day or two. Snoring and dyspnea improved dramatically in the group that underwent staphylectomy alone. Moreover, three dogs presented with postoperative gastrointestinal complications, especially retching. The symptoms persisted for seven days and ten days in two dogs that underwent sacculectomy with harmonic scalpel and for two days in one dog that underwent sacculectomy with Metzenbaum scissors. The clinical signs and symptoms of brachycephalic syndrome disappeared without recurrence. Harmonic scalpel provides a hemostatic effect during staphylectomy, is convenient, and does not cause postoperative complications. Conversely, the use of harmonic scalpel during sacculectomy necessitated a longer period for the resolution of complications without any significant hemostatic efficacy, compared to traditional surgery.

• 대한두경부종양학회지
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• 제24권2호
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• pp.179-183
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• 2008

하모닉 스칼펠은 낮은 온도에서 작용하여 주변 조직에 열손상을 적게 주는 원리로 인해 수술 후 통증, 구강 섭취, 일상 생활로의 복귀에 기존의 전기 소작술에 비해 유의한 이점을 지니며 이를 바탕으로 수술에 대한 환자의 주관적 만족도를 높임을 확인할 수 있었다.

• Journal of Chest Surgery
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• 제36권8호
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• pp.610-613
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• 2003

협착성 심낭염을 앓던 68세 남자 환자가 심낭절제술을 받았다. 심낭은 하모닉 스칼펠로 절제되었다. 하모닉 스칼펠은 에너지의 적은 전달과 조직으로의 전기 에너지 전달이 거의 없다는 점이 전지소작과는 다르다. 전기소작은 전류의 전달을 통하여 작동하기 때문에, 종종 정상적인 심장 리듬을 방해한다. 이는 전류의 전달이 없기 때문에, 수술 중 그리고 수술 후에 의미 있는 심박동의 이상이 감소됨을 확인할 수 있다. 이러한 새로운 도구는 근육 자극이 없고, 적은 열을 발산하며, 연기가 없어서 수술장 시야가 방해받지 않으며, 쉽게 지혈이 가능한 장점이 있다. 본 교실은 하모닉 스칼펠을 이용하여 심낭절제술을 시행한 환자를 경험하였기에, 간략한 문헌고찰과 함께 보고하는 바이다.

• Journal of Chest Surgery
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• 제34권6호
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• pp.499-501
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• 2001

1970년대에 요골동맥은 관상동맥우회로술의 이식편으로 제안되었으나 적출시 나타나는 경직에 의한 이식편의 폐쇄 때문에 금지되었다. 새로운 항경직성 약물의 등장과 외상을 최소화시키는 기술의 발전은 관상동맥 우회로술의 이식편으로 요골동맥을 되살리게 되었다. Harmonic Scalpel(Ultracision Inc, Smitweld, Rl)은 요골동맥을 덜 손상을 주고, 경직이 없고, 더 빨리 적출할 수 있게 한다.

• Archives of Plastic Surgery
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• 제47권2호
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• pp.140-145
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• 2020

Background Capsular contracture is a common complication of two-stage expander/implant breast reconstruction. To minimize the risk of this complication, capsulectomy is performed using monopolar cautery or ultrasonic surgical instrumentation, the latter of which can be conducted with a Harmonic scalpel. To date, there is disagreement regarding which of the two methods is superior. The purpose of this study was to compare postoperative outcomes between a group of patients who underwent surgery using a Harmonic scalpel and another group treated with monopolar cautery. Methods A retrospective chart review was conducted of patients who underwent capsulectomy as part of two-stage breast reconstruction between January 2018 and February 2019 and who received at least 1 month of follow-up after surgery. Operative time and postoperative outcomes, including drainage duration, were analyzed. Results In total, 36 female patients underwent capsulectomy. The monopolar group consisted of 18 patients and 22 breasts, while the Harmonic scalpel group consisted of 18 patients and 21 breasts. There was no statistically significant difference in demographics between the two groups. The Harmonic scalpel group had a significantly shorter mean drainage duration (6.65 days vs. 7.36 days) and a smaller mean total drainage volume (334.69 mL vs. 433.54 mL) than the monopolar cautery group (P<0.05). No statistically significant difference was observed with regard to seroma or hematoma formation. Conclusions The Harmonic scalpel approach for capsulectomy reduced the total drainage volume and drainage duration compared to the monopolar cautery approach. Therefore, this approach could serve as a good alternative to electrocautery.

• 대한두경부종양학회지
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• 제34권1호
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• pp.15-19
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• 2018

Background and Objectives: Thunderbeat (TB) and Harmonic scalpel (HS) have been applied to variable head and neck surgery, which are useful for both coagulation and cutting of tissues. However, there have been no comparative studies covering the usefulness of these energy devices in surgery for major salivary gland. In this study, we analyzed the surgical outcomes of two devices in surgery for parotidectomy and submandibular gland (SMG) resection. Materials and Methods: A retrospective chart review of 90 patients including two groups (HS group, n=45 versus TB group, n=45) of patients matched for their patient factors was conducted. Clinicopathologic factors of the patients and surgical outcomes such as the operation time, intraoperative bleeding, amount and duration of drain, hospital stay and complications were compared between two groups. Results: There were no significant difference between two groups regarding the clinicopathologic factors and short-term surgical outcomes. Conclusion: Thunderbeat and HS are both effective and safe for parotidectomy and SMG resection in variable benign disease of major salivary gland.

• 대한두경부종양학회:학술대회논문집
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• 대한두경부종양학회 2008년도 추계학술대회 논문집
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• pp.269-269
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• 2008

• Medical Lasers
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• 제10권2호
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• pp.115-119
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• 2021

A giant thyroid mass can be associated with severe compressive symptoms, requiring surgery for treatment. This paper reports the case of an 82-year-old man who presented with a giant thyroid mass that was suspected of being a metastatic papillary thyroid carcinoma on fine-needle aspiration cytology. A harmonic scalpel was used to excise the giant thyroid mass. A pectoralis major myocutaneous flap was used for reconstruction. The histopathology assessment confirmed the metastases in the lymph node and papillary thyroid carcinoma in the resected gland.

• 대한두경부종양학회지
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• 제15권2호
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• pp.194-199
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• 1999

Introduction: Since 1996, Dr. James Norman has successfully performed mimimally invasive radio-guided parathyroidectomy(MIRP) using intraoperative nuclear mapping with $^{99m}Tc$ sestamibi scanning and radioactivity detection probe. Objectives: We aimed to introduce this new surgical technique and evaluate it's efficacy by our own experiences. Method: From May to October 1999, five consecutive patients with primary hyperparathyroidism underwent parathyroidectomy by using modified MIRP technique. $^{99m}Tc$ sestamibi scanning was performed 1.0 or 1.5 hour before operation. After intraoperative localization of the tumor under the guidance of quantitative gamma counting with a NEVIGATOR probe, an unilateral small skin incision(3.0-4.0cm) was placed. Without a skin flap, the strap muscle was directly divided with the use of a Harmonic scalpel. After careful dissection, the parathyroid tumor was removed. Result: In all patients, a single adenoma could be easily detected and removed by this new technique. Mean incision length was 3.2cm(3.0-4.0cm) and operative time ranged from 40 to 110minute. All the patients were discharged within 2 days of surgery without any complication. Conclusion: This new operative technique could become the most minimally invasive alternative to the standard operative procedure for parathyroid adenoma.