title: Could Harmonic Scalpel (Ultracision®) be considered the best device in surgical treatment of vulvar cancer of patients with implanted pace-maker? Proposal and rationale.
abstract: Vulvar cancer (VC) represents about 4% of gynecologic malignancies, its incidence increases with age and peak incidence is found between 70-79 years. In cases of locally advanced disease surgery is often required and radical vulvectomy, with or without mono-bilateral inguino-femoral lymphadenectomy, is standard management. Various devices have been implemented in gynecological surgery in an attempt to minimize or avoid frequent intra/postoperative complications linked to energy use, unfortunately the majority of these devices require monopolar or bipolar energy. Ultracision® represents a unique surgical device capable of performing both cutting and coagulation at different intensities without use of electric energy. The use of Ultracision® in the radical treatment of VC has advantages both in terms of intraoperative and postoperative complications responsible for the reduction of surgical time and blood loss, complete tissue removal according to oncological criteria, diminished desensitization of peripheral areas and reduction of wound complications. These advantages have been widely demonstrated and contribute to making Ultracision® a cost-effective option in the routine treatment of patients affected by vulvar cancer especially when considering its safety in cardiopathic patients with implanted pacemaker. If the impressive results achieved in radical vulvar surgery will be confirmed, scalpel use could be proposed as routine for surgery of the routinely in surgical approach of vulvar and perineal area, in both benign and malignant disease.
authors: Department of Woman and Child Health, University of Padua Padua, Italy.
authors: Salvatore
authors: S
authors: Gizzo
authors: Department of Woman and Child Health, University of Padua Padua, Italy.
authors: Alessandra
authors: A
authors: Andrisani
authors: Department of Woman and Child Health, University of Padua Padua, Italy.
authors: Emanuele
authors: E
authors: Ancona
authors: Department of Obstetrics and Gynecology, University of Verona Verona, Italy.
authors: Michela
authors: M
authors: Quaranta
authors: Department of Woman and Child Health, University of Padua Padua, Italy.
authors: Amerigo
authors: A
authors: Vitagliano
authors: Department of Woman and Child Health, University of Padua Padua, Italy.
authors: Marco
authors: M
authors: Noventa
authors: Department of Woman and Child Health, University of Padua Padua, Italy.
authors: Giovanni Battista
authors: GB
authors: Nardelli
authors: Department of Woman and Child Health, University of Padua Padua, Italy.
authors: Guido
authors: G
authors: Ambrosini
keywords: Harmonic Scalpel; Ultracision®; gold standard; pacemaker; surgical device; surgical management; surgical safety