title: Harmonic scalpel versus conventional electrosurgery in the treatment of vulvar cancer.
abstract: OBJECTIVE
  To compare differences in blood loss, operative time, and intra- and postoperative complications with the harmonic scalpel or conventional electrosurgery in the treatment of vulvar cancer.
  
  
  METHODS
  Consecutive patients who underwent radical vulvectomy with inguinal lymphadenectomy using the harmonic scalpel (HS) or conventional electrosurgery (CE) were compared.
  
  
  RESULTS
  A total of 42 patients were included, 22 in the HS group and 20 in the CE group. Mean blood loss was significantly less in the HS group compared with the CE group (127 mL vs 210 mL; P<0.05) and mean operative time was significantly shorter with the HS compared with CE (117 minutes vs 142 minutes; P<0.05). There were no significant differences between the 2 groups in postoperative complications.
  
  
  CONCLUSIONS
  Use of the harmonic scalpel for surgical treatment of vulvar cancer is safe and has several advantages, including decreased operative time and blood loss, improved visibility in the operative field, and good postoperative outcome.
authors.affiliation: Clinic of Obstetrics and Gynecology, San Gerardo Hospital, Monza, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Pellegrino
authors.forename: Robert
authors.initials: R
authors.lastname: Fruscio
authors.forename: Andrea
authors.initials: A
authors.lastname: Maneo
authors.forename: Silvia
authors.initials: S
authors.lastname: Corso
authors.forename: Marco
authors.initials: M
authors.lastname: Battistello
authors.forename: Valentina
authors.initials: V
authors.lastname: Chiappa
authors.forename: Massimo
authors.initials: M
authors.lastname: Stomati
mesh_terms: D000368:Aged; D016063:Blood Loss, Surgical; D002277:Carcinoma / Q000601:surgery; D004598:Electrosurgery; D005260:Female; D006488:Hemostasis, Surgical / Q000295:instrumentation*; D006801:Humans; D008197:Lymph Node Excision; D008545:Melanoma / Q000601:surgery; D012189:Retrospective Studies; D013525:Surgical Instruments; D013997:Time Factors; D014465:Ultrasonics; D014846:Vulvar Neoplasms / Q000601:surgery*