Harmonic™ vs. Electrocautery in Abdominoplasties

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00506740
Recruitment Status : Completed
First Posted : July 25, 2007
Last Update Posted : August 4, 2015
Information provided by:
Ethicon Endo-Surgery

Brief Summary:
the objective of this study is to determine if the use of The Harmonic™ (an ultrasonic surgical instrument) in abdominolipectomy (tummy tuck)reduces volume and duration of wound drainage after surgery when compared to electrocautery.

Condition or disease Intervention/treatment Phase
Skin and Fat Redundancy and Muscle Diastases Device: Ultrasonic scalpel Device: monopolar electrosurgery generator and tip Not Applicable

Detailed Description:

Abdominolipectomy is performed to correct abdominal skin and fat redundancy and muscle diastases. Persistent serous wound drainage and seromas are the most common complications in abdominolipectomy. The rate of serous fluid collection determines the time drains need to remain in place. Although suction drains reduce seroma formation, prolonged use can delay healing, cause injury, and increase the risk of retrograde infection and patient discomfort. Wound drainage has a direct correlation with seroma formation. The loss of protein nutrients and minerals in the serum drained is also a concern with prolonged drainage that can result in healing delays.

The Harmonic™ technology uses ultrasonic energy that allows both cutting and coagulating at the precise point of application. The Harmonic™ has been used since 1992 predominantly in urology and gastro-intestinal surgery (laparoscopic surgery). Significantly reduced serous drainage in a number of general surgery procedures such as superficial and total parotidectomy; thyroidectomy; tonsillectomy; pectoralis major myocutaneous flap dissection; axillary dissection; and lymphadenectomy have been reported with the use Harmonic™.

The Harmonic™ has also been used in parotidectomy and maxillofacial surgery, but its use has been seldom mentioned in the field of plastic and reconstructive surgery. Recent use of the Harmonic™ has shown promise in plastic and reconstructive surgery in dissection of the pectoralis major myocutaneous flap and total body lifts.

Comparisons: The Harmonic™ vs. electrocautery in abdominolipectomy.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 70 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single
Primary Purpose: Supportive Care
Official Title: A Randomized, Prospective, Parallel Group Study Comparing the Harmonic™ to Electrocautery in Abdominoplasties
Study Start Date : October 2006
Actual Study Completion Date : June 2007

Arm Intervention/treatment
Active Comparator: Electrocautery
Elesurgical instruments are used to cut and coagulate tissue using alternatig electric current focusing intense heat at the surgical site. In electrosurgery, the patient is included in the circuit and current enters the patient's body.
Device: Ultrasonic scalpel
A surgical instrument that uses ultrasonic energy that allows both cutting and coagulating at the precise point of application.
Other Names:
  • 1) Sharp Curved Blade (HF105)
  • 2) Generator (GEN04)
  • 3) Hand Piece (HP054)
  • Manufacturer: Ethicon Endo-Surgery, Inc., Cincinnati, OH.
Device: monopolar electrosurgery generator and tip

Primary Outcome Measures :
  1. Total volume (mL) from the time of drain placement to time of drain removal. [ Time Frame: from the time of drain placement to time of drain removal ]

Secondary Outcome Measures :
  1. Total number of hours from drain placement to drain removal [ Time Frame: from drain placement to drain removal ]

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

Subjects eligible for this clinical research study must fulfill all of the following criteria:

  • Elected to undergo a full abdominoplasty procedure for aesthetics or post-obesity reasons
  • Able to comprehend and sign the study informed consent form
  • Able to return for all study mandated postoperative visits (3-4 days after the removal of drains, as well as 15 ± 2 days, and 30 ± 5 days after surgery); and
  • Be greater than or equal to 18 years of age.

Exclusion Criteria:

Subjects with any of the following criteria are not eligible to participate in this clinical research study:

  • Current smoker
  • Current use of steroids
  • Diabetes Mellitus
  • Need of lipocontouring, other than complementary liposuction of the flanks
  • Need of a full body lift (belt lipectomy)
  • Need of concomitant surgical procedures via the abdominal flap (other than hernia repair, rectus plication, or liposuction of the flanks) or procedures in which the wound drainage would interconnect with the abdominal wound.
  • Presence of ventral or umbilical hernia requiring repair with the use of prosthetic material (e.g., mesh)
  • Morbid obesity (BMI ≥ 40)
  • At risk for ischemia due to presence of obstruction of the arterial blood supply or inadequate blood flow
  • Presence of midline scars that could limit flap advancement that are not limited to the infraumbilical region so they can be completely excised
  • Right, left, or bilateral upper quadrant scars, (e.g., previous laparotomy via sub costal incision)
  • Heart disease
  • History of thromboembolic disease
  • Current diagnosis or history of any disease that would impair healing process
  • Current diagnosis or history of immune system disorders
  • History of bleeding disorders
  • Presence of uncontrolled hypertension
  • Pregnant or lactating
  • Being treated with anticoagulants including aspirin within 7 days prior to surgery (a washout period of 7 days will be required); or
  • Participation in any other clinical studies.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00506740

United States, Iowa
Iowa City Plastic Surgery
Coralville, Iowa, United States, 52241
United States, Ohio
University of Cincinnati
Cincinnati, Ohio, United States, 45267-0558
Centro Zimman de Cirugia Plastica
Buenos Aires, Argentina, C1425BBE
Abteilung für Plastische und Ästhetische Chirurgie
Wesseling, Germany, 50389
Centro Medico Dalinde
Mexico City, Mexico, 06760
Sponsors and Collaborators
Ethicon Endo-Surgery
Principal Investigator: Drik F Richter, M.D. Leiter der Abteilung fuer Plastische Chirurgie Identifier: NCT00506740     History of Changes
Other Study ID Numbers: CI-06-0002
First Posted: July 25, 2007    Key Record Dates
Last Update Posted: August 4, 2015
Last Verified: August 2015

Additional relevant MeSH terms:
Diastasis, Muscle
Joint Dislocations
Bone Diseases
Musculoskeletal Diseases
Wounds and Injuries