An Immediate Reconstructive Surgery with a Pectoralis Major Myocutaneous Flap using the LigaSureImpact™ Vessel-sealing Device- A Technical Case Report

Clinical usefulness of using LigaSure™ vessel-sealing devices and the Valleylab™ electrode knife (Covidien, USA) for head and neck cancer surgery was reported. These instruments were applied to the hemiglossectomy with bilateral neck dissection and immediate reconstruction with a pectoralis major myocutaneous flap for a 64-year-old woman with squamous cell carcinoma of the right tongue (stage T4aN2bM0). In this case, LigaSureImpact™ vessel-sealing device was remarkably useful for a short time harvesting PMMC flap with a small amount of intraoperative blood loss. LigaSureImpact™ vessel-sealing bipolars is useful device in the field of reconstructive surgery in the case of harvesting bulky flap.