WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Review Journal for Medical Science and Pharma Professionals

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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  • Google Scholar
  • Index Copernicus
  • SOCOLAR, China
  • Research Bible, Fuchu, Tokyo. JAPAN
  • Cosmos Impact Factor
  • Scientific Indexing Services (SIS)
  • UDLedge Science Citation Index
  • International Impact Factor Services
  • International Society for Research Activity (ISRA) Journal Impact Factor (JIF)
  • IFSIJ Measure of Journal Quality
  • Scientific Journal Impact Factor (SJIF)
  • International Scientific Indexing, UAE (ISI) (Under Process)
  • International Impact Factor Services (IIFS)
  • Web of Science Group (Under Process)
  • Directory of Research Journals Indexing
  • Scholar Article Journal Index (SAJI)
  • International Scientific Indexing ( ISI )
  • Academia
  • Scope Database

Abstract

CONTROL OF CYSTIC ARTERY DURING LAPAROSCOPIC CHOLECYSTECTOMY, CLIPPING VERSUS BIPOLAR ELECTROCAUTRY: INSTITUTION BASED EXPERIENCE

M. R. Attri, Irfan Nazir Mir*, Rajni Bharadwaj, Suhail Nazir, Mir Mujtaba Ahmad, Hilal Ahmad Wani

ABSTRACT

Background: This study was undertaken to determine the efficacy of use of bipolar electrocautry in dealing with cystic artery during laparoscopic cholecystectomy, and to establish weather bipolar electrocautry is an equivalent alternative to conventional clip application. Methods: About 200 patients undergoing laparoscopic cholecystectomy were selected on a prospective basis and divided into two groups- A and B(100 patients in each group. a comparative study was done between the two group. Clips were used to control cystic artery in group A patients and bipolar electrocautry was used for the same in group B. Results: In group A, 3 patients had clip slippage intraoperatively which was dealt by reapplication of clips.in group B,2 patient had intraoperative bleeding from cystic artery few minutes after application of bipolar thermal energy which was dealt by applying clips. In both the groups no postoperative bleeding was encountered. Conclusions: During laparoscopic cholecystectomy, clip usage and bipolar electrocautry are equally competent in achieving haemostasis of cystic artery.

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