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CompletedNCT00506740Updated Aug 4, 2015

Harmonic™ vs. Electrocautery in Abdominoplasties

An interventional study of Ultrasonic scalpel and monopolar electrosurgery generator and tip in Skin and Fat Redundancy and Muscle Diastases, sponsored by Ethicon Endo-Surgery. Completed at 5 sites in 4 countries. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2015-08-04.

Sponsored by Ethicon Endo-Surgery · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
70
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study 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.

Read the 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.

02

Conditions studied

  • Skin and Fat Redundancy and Muscle Diastases

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03

In context

Diastasis, Muscle

41 studies on the registry are indexed under Diastasis, Muscle; 9 are open to participants now.

This study's enrollment of 70 is above the median of 48 across 31 interventional studies indexed under Diastasis, Muscle.

Browse Diastasis, Muscle studies →

Lead sponsor

Ethicon Endo-Surgery is the lead sponsor of 47 studies on the registry; 1 is open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 7 (100%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
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

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.
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single
Enrollment
70 participants (actual)

Study arms

  • 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 · Device: monopolar electrosurgery generator and tip

Interventions

  • DeviceUltrasonic scalpel

    A surgical instrument that uses ultrasonic energy that allows both cutting and coagulating at the precise point of application.

    Also known as: 1) Sharp Curved Blade (HF105), 2) Generator (GEN04), 3) Hand Piece (HP054), Manufacturer: Ethicon Endo-Surgery, Inc., Cincinnati, OH.

  • Devicemonopolar electrosurgery generator and tip
06

What researchers measure

Primary outcomes

  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 outcomes

  1. Total number of hours from drain placement to drain removal

    Time frame: from drain placement to drain removal

07

Study locations

5 sites
  • Iowa City Plastic Surgery
    Coralville, Iowa 52241, United States
  • University of Cincinnati
    Cincinnati, Ohio 45267-0558, United States
  • Centro Zimman de Cirugia Plastica
    Buenos Aires, C1425BBE, Argentina
  • Abteilung für Plastische und Ästhetische Chirurgie
    Wesseling, 50389, Germany
  • Centro Medico Dalinde
    Mexico City, 06760, Mexico
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 4, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00506740
Lead sponsor
Ethicon Endo-Surgery
First posted
Jul 25, 2007
Start date
Oct 2006
Completion
Jun 2007
Last update
Aug 4, 2015

Study contacts

Drik F Richter, M.D.
principal investigator · Leiter der Abteilung fuer Plastische Chirurgie

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2015. You cannot join it, but the record below documents what was studied.

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