@article{Afifa Asghar,Aamir Ghazanfar_2019, title={Comparison of Outcome of Monopolar Diathermy Versus Harmonic Scalpel in Terms of Gallbladder Perforation in Laparoscopic Cholecystectomy}, volume={23}, url={https://journalrmc.com/index.php/JRMC/article/view/1091}, abstractNote={<p>Background : To compare the outcome (in terms <br>of gall bladder perforation) of monopolar diathermy <br>versus harmonic scalpel use during laparoscopic <br>Cholecystectomy (LC) . <br>Methods: In this randomized controlled trial 170 <br>patients of both gender between age 20 to 60 years <br>planned for undergoing laparoscopic <br>cholecystectomy for symptomatic gallstones, were <br>included. Patients were randomly allocated to Group <br>A (harmonic scalpel) and Group B (monopolar <br>diathermy). Outcome was measured in terms of gall <br>bladder perforation during the procedure in both <br>groups. <br>Results: Satisfactory outcome (non-perforated <br>gallbladder) was significantly higher in patients <br>who underwent LC with harmonic scalpel (90.6%, <br>n=77/85) when compared to patients underwent LC <br>with monopolar diathermy (77.6%, n=66/85). P-value <br>found to be 0.021. <br>Conclusion: Use of harmonic scalpel is found to be <br>a better a choice during laparoscopic <br>cholecystectomy in terms of per operative <br>gallbladder perforation as compared to monopolar <br>diathermy.</p>}, number={1}, journal={Journal of Rawalpindi Medical College}, author={Afifa Asghar,Aamir Ghazanfar, Afifa Asghar,Aamir Ghazanfar}, year={2019}, month={May} }