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Journals / Journal of Pharmaceutical Technology / 2020 / Volume: 1 Issue: 3

Is electrosurgery a revolution? Mechanism, benefits, complications and precautions

Ümit Özdemir(ESKİŞEHİR OSMANGAZİ ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0001-5681-7421
Ahmet Karayiğit(ESKISEHIR OSMANGAZI UNIVERSITY, FACULTY OF MEDICINE)0000-0003-0380-9190
İhsan Karakaya(ESKİŞEHİR OSMANGAZİ ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0001-7634-0771
Dursun Özdemir(ESKİŞEHİR OSMANGAZİ ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-3672-5738
Hayrettin Dizen(ESKİŞEHİR OSMANGAZİ ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-4031-2557
İlter Ozer(ESKİŞEHİR OSMANGAZİ ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0001-6902-0913
Bülent Ünal(ESKİŞEHİR OSMANGAZİ ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0003-2538-7961
Pages
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Publication Date
2020-12-01
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Surgeons should understand the mechanism of action; they should have knowledge about the prevention and treatment of potential complications.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Approximately one and a half-century ago, it was revealed that high-frequency alternating current flows through the tissue without causing a painful electrical shock and produces heat instead of muscle stimulation.
📊
Key Findings & Data:Complications related to energy devices occur in 2 to 5 per 1000 procedures.
💡
Conclusion & Impact:Surgeons should understand the mechanism of action; they should have knowledge about the prevention and treatment of potential complications.
🔬Design:Review
📍Scope:Comprehensive Sample
⚙️Variables:Electrical current · Electrosurgery · Energy devices

Abstract

Approximately one and a half-century ago, it was revealed that high-frequency alternating current flows through the tissue without causing a painful electrical shock and produces heat instead of muscle stimulation. The application of electrical current to the tissue produces effects such as fulguration, desiccation/coagulation, or vaporization/ablation. Devices that use high- frequency electric current are called energy devices. The development of these devices that facilitated dissection and bleeding control pioneered a new era in surgery. After the Bovie units, which have monopolar and bipolar modes, advanced energy devices were also developed. Advanced bipolar devices use pulsed bipolar energy and feedback control of the energy output during tissue coagulation. There is an electrosurgical unit in each operating theater now. However, these devices are not exempted from complications. Complications related to energy devices occur in 2 to 5 per 1000 procedures. The leading causes of these complications are the thermal diffusion effect, smoke plumes, and stray current. As the surgical experience increases, complications decrease and reach a plateau. Surgeons should understand the mechanism of action; they should have knowledge about the prevention and treatment of potential complications.

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Cite This Article

Özdemir, Ü., Karayiğit, A., Karakaya, İ., Özdemir, D., Dizen, H., Ozer, İ., Ünal, B. (2020). Is electrosurgery a revolution? Mechanism, benefits, complications and precautions. Journal of Pharmaceutical Technology, Volume: 1 Issue: 3. https://doi.org/10.37662/jpt.2021.8

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