New technology for the division of short gastric vessels during laparoscopic Nissen fundoplication: A prospective randomized trial

W. S. Laycock; T. L. Trus; J. G. Hunter

doi:10.1007/s004649910019

New technology for the division of short gastric vessels during laparoscopic Nissen fundoplication: A prospective randomized trial

W. S. Laycock, T. L. Trus, J. G. Hunter

Research output: Contribution to journal › Article › peer-review

110 Scopus citations

Abstract

Division of the short gastric vessels (SGV) is a standard component of laparoscopic Nissen fundoplications (LNF) at our institution. This study compares our original method of vessel control, multifire clip applier (MCA) and sharp division, to the Ultracision Harmonic Scalpel LCS (LCS). Twenty consecutive patients were evaluated in a randomized prospective fashion. Times for SGV division and estimated blood loss (EBL) were recorded. Cost data represent patient charges for use of either the MCA or LCS and the charge for operative time. Use of the LCS produced a significant reduction in the time required for SGV division and in the charges to the patient. We feel it is important to divide the SGV in all LNFs, and LCS use can result in significant savings of time and money.

Original language	English (US)
Pages (from-to)	71-73
Number of pages	3
Journal	Surgical endoscopy
Volume	10
Issue number	1
DOIs	https://doi.org/10.1007/s004649910019
State	Published - 1996
Externally published	Yes

Keywords

Gastroesophageal reflux
Harmonic Scalpel
Nissen fundoplication
Short gastric vessels

ASJC Scopus subject areas

Surgery

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10.1007/s004649910019

Cite this

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title = "New technology for the division of short gastric vessels during laparoscopic Nissen fundoplication: A prospective randomized trial",

abstract = "Division of the short gastric vessels (SGV) is a standard component of laparoscopic Nissen fundoplications (LNF) at our institution. This study compares our original method of vessel control, multifire clip applier (MCA) and sharp division, to the Ultracision Harmonic Scalpel LCS (LCS). Twenty consecutive patients were evaluated in a randomized prospective fashion. Times for SGV division and estimated blood loss (EBL) were recorded. Cost data represent patient charges for use of either the MCA or LCS and the charge for operative time. Use of the LCS produced a significant reduction in the time required for SGV division and in the charges to the patient. We feel it is important to divide the SGV in all LNFs, and LCS use can result in significant savings of time and money.",

keywords = "Gastroesophageal reflux, Harmonic Scalpel, Nissen fundoplication, Short gastric vessels",

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T1 - New technology for the division of short gastric vessels during laparoscopic Nissen fundoplication

T2 - A prospective randomized trial

AU - Laycock, W. S.

AU - Trus, T. L.

AU - Hunter, J. G.

PY - 1996

Y1 - 1996

N2 - Division of the short gastric vessels (SGV) is a standard component of laparoscopic Nissen fundoplications (LNF) at our institution. This study compares our original method of vessel control, multifire clip applier (MCA) and sharp division, to the Ultracision Harmonic Scalpel LCS (LCS). Twenty consecutive patients were evaluated in a randomized prospective fashion. Times for SGV division and estimated blood loss (EBL) were recorded. Cost data represent patient charges for use of either the MCA or LCS and the charge for operative time. Use of the LCS produced a significant reduction in the time required for SGV division and in the charges to the patient. We feel it is important to divide the SGV in all LNFs, and LCS use can result in significant savings of time and money.

AB - Division of the short gastric vessels (SGV) is a standard component of laparoscopic Nissen fundoplications (LNF) at our institution. This study compares our original method of vessel control, multifire clip applier (MCA) and sharp division, to the Ultracision Harmonic Scalpel LCS (LCS). Twenty consecutive patients were evaluated in a randomized prospective fashion. Times for SGV division and estimated blood loss (EBL) were recorded. Cost data represent patient charges for use of either the MCA or LCS and the charge for operative time. Use of the LCS produced a significant reduction in the time required for SGV division and in the charges to the patient. We feel it is important to divide the SGV in all LNFs, and LCS use can result in significant savings of time and money.

KW - Gastroesophageal reflux

KW - Harmonic Scalpel

KW - Nissen fundoplication

KW - Short gastric vessels

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New technology for the division of short gastric vessels during laparoscopic Nissen fundoplication: A prospective randomized trial

Abstract

Keywords

ASJC Scopus subject areas

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