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Journals / Bağcılar Tıp Bülteni / 2021 / Cilt: 6 - Sayı: 4

Bowel Pathologies Caused by the Use of Electrocautery Knife in Spinal Surgery with Facet Denervation: The First Experimental Study

Faset Denervasyonu Olan Omurga Cerrahisinde Elektrokoter Bıçağı Kullanımının Neden Olduğu Bağırsak Patolojileri: İlk Deneysel Çalışma

Mehmet Dumlu AYDIN
Ahmet YARDIM
Aslıhan ALPASLAN
Mehmet Kürşat KARADAĞ
Pages
407–412
Publication Date
2022-10-12
DOI
—
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AI Summary & Key Takeaways

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

Our results were statistically significant (p

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Monopolar electrocautery (MEC) or bipolar electrocautery (BEC) are surgical instruments commonly used in spinal surgery.
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Key Findings & Data:Method: Twenty male hybrid rabbits were used in the study, including 5 in the control group, 7 in the BEC group, and 8 in the MEC group.
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Conclusion & Impact:Our results were statistically significant (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: Monopolar electrocautery (MEC) or bipolar electrocautery (BEC) are surgical instruments commonly used in spinal surgery. Our study aimed to determine the bowel end pathologies induced by sacral parasympathetic network degeneration due to the use of MEC or BEC in spinal surgery. Method: Twenty male hybrid rabbits were used in the study, including 5 in the control group, 7 in the BEC group, and 8 in the MEC group. We used the thoracic vertebra 11-lumbar vertebra 2 (T11-L2) spinal laminectomy for the operation technique. After one week, the animals’ abdominal organs were examined on computerized tomography, and then the animals were sacrificed. The descending colon and Onuf’s nucleus/S4 spinal ganglia were histopathologically examined. The colonic degeneration scores were numbered as follows: Normal (0P), vasospasm (1P), endothelial injury (2P), thrombus (3P), colonic wall injury (4P), inflammation (5P), colonic mucosal degeneration (6P), Auerbach myenteric ganglion degeneration (7P), and necrosis (8P). The groups were scored according to 36 points, and the results were compared with the number of degenerated pudendal ganglion neurons. Results: The mean numbers of normal neurons/degenerated neurons were 22.610±962/5±2, 21.617±890/103±21, and 16.692±641/345±62 in the control, BEC, and MEC groups, respectively. The colonic degeneration score was 31 points in the MEC group. Our results were statistically significant (p

Özet

Amaç: Monopolar elektrokoter (MEC) veya bipolar elektrokoter (BEC), spinal cerrahide yaygın olarak kullanılan cerrahi aletlerdir. Çalışmamızda spinal cerrahide MEC veya BEC kullanımına bağlı sakral parasempatik ağ dejenerasyonunun neden olduğu bağırsak patolojilerini belirlemeyi amaçladık. Yöntem: Çalışmada, kontrol grubunda 5, BEC grubunda 7 ve MEC grubunda 8 olmak üzere toplam 20 erkek hibrid tavşan kullanıldı. Ameliyat tekniği olarak torasik vertebra 11-Lomber vertebra 2 (T11-L2) spinal laminektomi uygulandı. Bir hafta sonrasında, hayvanların karın organları bilgisayarlı tomografi ile incelendi ve ardından hayvanlar sakrifiye edildi. İnen kolon ve Onuf çekirdeği/S4 spinal gangliyonları histopatolojik olarak incelendi. Kolonik dejenerasyon skorları: Normal (0P), vazospazm (1P), endotelyal hasar (2P), trombüs (3P), kolonik duvar hasarı (4P), inflamasyon (5P), kolonik mukozal dejenerasyon (6P), Auerbach miyenterik ganglion dejenerasyonu (7P) ve nekroz (8P) olarak skorlandı. Gruplar toplamda 36 puana göre puanlandı ve sonuçlar dejenere olmuş pudendal ganglion nöronlarının sayısı ile karşılaştırıldı. Bulgular: Kontrol, BEC, MEC gruplarında sırasıyla ortalama normal nöron/dejenere nöron sayıları 22,610±962/5±2, 21,617±890/103±21 ve 16,692±641/345±62 idi. Kolonik dejenerasyon skoru kontrol grubunda 31 puandı. Sonuçlarımız istatistiksel olarak anlamlıydı. Sonuç: Bu çalışmada, MEC/BEC gibi yüksek voltajlı elektrikli cihazların Adamkiewicz arter/sakral parasempatik ağ üzerindeki zararlı etkileri nedeniyle bağırsak patolojilerine neden olabileceği ve gerekli olmadıkça omurga cerrahisinde kullanılmaması gerektiği sonucuna ulaştık. Anahtar kelimeler: Elektokoterizasyon, faset denervasyonu, nöronal hasar, spinal cerrahi, tavşan

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Cite This Article

AYDIN, M. D., YARDIM, A., ALPASLAN, A., KARADAĞ, M. K. (2022). Bowel Pathologies Caused by the Use of Electrocautery Knife in Spinal Surgery with Facet Denervation: The First Experimental Study. Bağcılar Tıp Bülteni, Cilt: 6 - Sayı: 4, 407–412. https://ajindex.com/articles/458907

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References (14)

  1. Mawad ME, Rivera V, Crawford S, Ramirez A, Breitbach W. Spinal cord ischemia after resection of thoracoabdominal aortic aneurysms: MR findings in 24 patients. AJR Am J Roentgenol. 1990;155(6):1303-1307
  2. Mannen T. [Neuropathology of Onuf’s nucleus]. Rinsho Shinkeigaku. 1991;31(12):1281-1285. (Japanese
  3. Sapunar D, Kostic S, Banozic A, Puljak L. Dorsal root ganglion - a potential new therapeutic target for neuropathic pain. J Pain Res 2012;5:31-38
  4. Brumovsky PR, La JH, McCarthy CJ, Hökfelt T, Gebhart GF. Dorsal root ganglion neurons innervating pelvic organs in the mouse express tyrosine hydroxylase. Neuroscience 2012;223:77-91
  5. Chen T, Carter BS. Role of magnesium sulfate in aneurysmal subarachnoid hemorrhage management: a meta-analysis of controlled clinical trials. Asian J Neurosurg 2011;6(1):26-31
  6. Turkmenoglu ON, Kanat A, Yolas C, Aydin MD, Ezirmik N, Gundogdu C. First report of important causal relationship between the Adamkiewicz artery vasospasm and dorsal root ganglion cell degeneration in spinal subarachnoid hemorrhage: an experimental study using a rabbit model. Asian J Neurosurg 2017;12(1):22-27
  7. Yolas C, Kanat A, Aydin MD, Ozturk C, Kabalar E, Akca N, et al. The important liaison between onuf nucleus-pudendal nerve ganglia complex degeneration and urinary retention in spinal subarachnoid hemorrhage: An experimental study. World Neurosurg 2016;89:208-214
  8. Ozturk C, Kanat A, Aydin MD, Yolas C, Kabalar ME, Gundogdu B, et al. The impact of L5 dorsal root ganglion degeneration and Adamkiewicz artery vasospasm on descending colon dilatation following spinal subarachnoid hemorrhage: an experimental study; first report. J Craniovertebr Junction Spine 2015;6(2):69-75
  9. Hunt JL, Mason AD, Masterson TS, Pruitt BA. The pathophysiology of acute electric injuries. J Trauma 1976;16(5):335-340
  10. Lee RC. Injury by electrical forces: pathophysiology, manifestations, and therapy. Curr Probl Surg 1997;34(9):677-764
  11. Breugem CC, Van Hertum W, Groenevelt F. High voltage electrical injury leading to a delayed onset tetraplegia, with recovery. Ann N Y Acad Sci 1999;888:131-136
  12. Dendooven AM, Lissens M, Bruyninckx F, Vanhecke J. Electrical injuries to peripheral nerves. Acta Belg Med Phys 1990;13(4):161- 165
  13. Aydin MD, Dane S, Gundogdu C, Gursan N. Neurodegenerative effects of monopolar electrocauterization on spinal ganglia in lumbar disc surgery. Acta Neurochir (Wien) 2004;146(10):1125- 1129; discussion 1129
  14. Aydin MD, Yildi