Usefulness of Harmonic Focus during Anterolateral Thigh Flap Elevation

Atsumori Hamahata; Takashi Saitou; Kazuyuki Kubo; Takeshi Beppu; Takashi Yamaki; Hiroyuki Sakurai

doi:10.1055/s-0032-1326739

Journal of Reconstructive Microsurgery, Table of Contents

J Reconstr Microsurg 2012; 28(09): 615-618
DOI: 10.1055/s-0032-1326739

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Usefulness of Harmonic Focus during Anterolateral Thigh Flap Elevation

Authors

Atsumori Hamahata

¹Department of Plastic and Reconstructive Surgery, Tokyo Women's Medical University, Tokyo, Japan

²Department of Plastic and Reconstructive Surgery, Saitama Cancer Center, Saitama, Japan
Takashi Saitou

²Department of Plastic and Reconstructive Surgery, Saitama Cancer Center, Saitama, Japan
Kazuyuki Kubo

²Department of Plastic and Reconstructive Surgery, Saitama Cancer Center, Saitama, Japan
Takeshi Beppu

³Department of Head and Neck Surgery, Saitama Cancer Center, Saitama, Japan
Takashi Yamaki

¹Department of Plastic and Reconstructive Surgery, Tokyo Women's Medical University, Tokyo, Japan
Hiroyuki Sakurai

¹Department of Plastic and Reconstructive Surgery, Tokyo Women's Medical University, Tokyo, Japan

Abstract

Meticulous hemostasis and careful ligation of branches are necessary for pedicle dissection during flap elevation. The aim of this study was to evaluate the effectiveness of the Harmonic Focus handpiece (Ethicon Endo-Surgery, Inc., Blue Ash, Cincinnati, OH, USA) in reducing operation time, bleeding volume, and volume of postoperative drainage during anterolateral thigh flap elevation. Ten patients requiring flap elevation were divided into two groups: (1) Harmonic Focus group (three men, two women), and (2) control group (three men, two women). Operating time was found to be lower in the Harmonic Focus group than in the control group. Bleeding volume and postoperative drainage volume were nearly identical in the Harmonic Focus group and the control group, and the number of silk ligatures was significantly lower in the Harmonic Focus group compared with the control group. Although somewhat costly, the Harmonic Scalpel with the Harmonic Focus handpiece is advantageous for flap elevation, and it is likely that Harmonic Scalpel use will increase in plastic surgery.

Keywords

Harmonic Focus - Harmonic Scalpel - flap

Full Text

References

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