Harmonic surgical instruments result in less drainage, fewer drain days, less tissue damage, and less postoperative pain. In a recent study, abdominoplaty patients experienced 33% less drainage, 1.4 fewer drain days, and less postoperative pain in the first 2 days of recovery. This technology has advantages for patients of other cosmetic surgeries as well, including facelift and breast enhancement patients.
Harmonic Technology works by creating an ultrasonic wave by applying electromagnetic energy to a piezoelectric transducer located between metal cylinders in the hand piece. In response to the electric field, the waves, traveling as sine waves from the hand piece to the blade, create mechanical vibrations. Silicon rings are located on the positions of the blade where the amplitude of the wave is zero in order to guide the blade.
These mechanical vibrations then drive the active blade of the device. Vibrating 55,500 times per second, when the blade comes into contact with the tissue and pressure is applied, the blood vessels are coapted.
This coaptation breaks up positive hydrogen molecules, denaturing the protein in the cells. The denatured protein then forms a sticky coagulum, which forms a reliable hemostatic seal, allowing the surgeon to simultaneously cut and coagulate. This results in significantly less drainage, fewer drain days, minimized tissue damage, and less postoperative pain as compared to electrosurgery.
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