Treatment of Zenker’s diverticulum by flexible endoscopy is considered to be feasible, effective, and safe [1,2]. Endoscopic treatment consists of the division of the septum between the diverticulum and the esophagus, within which the cricopharyngeus muscle is contained [1,2]. This report describes the novel use of a LigaSure scalpel (Valleylab, Boulder, Colorado, USA) to perform flexible endos...

Objective: To determine whether harmonic scalpel has any advantage over monopolar diathermy tonsillectomy or not in terms of blood loss, duration surgery, pain scores and slough separation time. Study Design: Double Blind Cross Sectional study. Setting: Faisalabad Medical University Affiliated Institutions. Period: April 2022 to September 2022. Material & Methods: Seventy patients were sele...

Any laparoscopic surgery demands appropriate surgical instruments. Most surgeons nowadays have adapted to this different form of surgery and have particular preferences for certain types of graspers, dissectors and cutting instruments. The general component of laparoscopic instrument includes the hand grip, shaft, jaw and the tip. The harmonic scalpel is a surgical instrument used to simultaneo...

Total laparoscopic hysterectomy (TLH) is the complete hysterectomy including transection of the uterine vessels and opening/closure of the vaginal vault performed laparoscopically. This procedure can be performed as an alternative to total abdominal hysterectomy in many cases. We previously found use of the harmonic scalpel to be extremely helpful in performing laparoscopically assisted vaginal...

Lumbar diskectomy is a common procedure in neurosurgery, besides the common complications broken scalpel blade during disc removal is a rare event. Usually retrieval of such sharp retained fragments in same sitting is difficult and to prevent further complications another session is warranted [1]. We report a case of broken scalpel blade during L1-L2 lumbar intervertebral disc removal and succe...

We present the first case of a head and neck oncological procedure accomplished in a Jehovah's Witness using the Ultracision Harmonic Scalpel (Ethicon, Cincinnati, OH). Jehovah's Witnesses present a serious challenge to the head and neck cancer surgeon due to their refusal to accept transfusion of any blood products. However, our experience reinforces the view that surgical management of head a...

The case is presented of a 68-year-old man with calcifying tendonitis involving the lateral part of the gluteus medius. The presenting symptoms were chronic pain in the posterolateral region of the right hip and limitation of movement of the right hip. The patient was treated with acupuncture and small needle scalpel therapy. Three months after the procedure the patient was completely pain-free...