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Journals / Eurasian Journal of Medicine / 2009 / Cilt: 41 - Sayı: 2

Spinal cerrahide monopolar elektrokoter kullanımının femoral arter endoteline etkisi: Eksperimental çalışma

Destructive effect of monopolar electrocautery knife usage on femoral artery endothelium during spine surgery: Experimental study

Hasan KOCATÜRK
Mehmet Dumlu AYDIN
Ednan BAYRAM
Canan ATALAY
Cemal GÜNDOĞDU
Muhammet ÇALIK
Pages
91–94
Publication Date
2022-10-18
DOI
—
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AI Summary & Key Takeaways

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

The difference between the MEK and non-MEK groups was statistically significant (P

📌 3 Key Takeaways

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Objective & Hypothesis:Circulatory disorders are observed in the lower extremities of some patients after spinal surgery when a monopolar electrocautery knife (MEK) is used.
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Key Findings & Data:The remaining animals were subjected to paravertebral soft tissue dissection along levels L1-L4.
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Conclusion & Impact:The difference between the MEK and non-MEK groups was statistically significant (P
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective. Circulatory disorders are observed in the lower extremities of some patients after spinal surgery when a monopolar electrocautery knife (MEK) is used. Despite known the knowledge that electric currents can be hazardous to living tissues, MEK has been widely used in spine surgery. In this study, we investigated if MEK can cause endothelial injury in femoral arteries (FA). Materials and Methods. Eighteen rabbits were included in this study, two of which were used as the reference group. The remaining animals were subjected to paravertebral soft tissue dissection along levels L1-L4. Half of the animals were dissected with MEK, and the other half were dissected with scissors and bipolar cautery. One month after the surgery, endothelial changes of the FAs were examined stereologically.Results. Endothelial desquamation, cytoplasmic and nuclear condensations, cellular shrinkage and cellular loss were developed in the FAs of the MEK group. The endothelial cell density was 270 cells/ mm2 in normal animals, 240 cells/mm2 in the non- MEK group and 190 cells/mm2 in the MEK group. The difference between the non- MEK and normal groups was not meaningful (P>0.05). The difference between the MEK and non-MEK groups was statistically significant (P

Özet

Amaç. Bazı hastalarda spinal cerrahide monopolar elektrokoter (MEK) bıçak kullanımı sonrası alt ekstremitede sürkülasyon bozuklukları gözlenmektedir. Elektirik akımın yaşayan dokular için zararlı olduğu bilinmesine rağmen MEK spinal cerrahide kullanılır. Bu çalışmada MEK in femoral arter endotel hasarı yapıp yapmayacağını araştırmayı amaçladık. Gereç ve Yöntem. Bu çalışmaya 18 tavşan alındı ve 2 si kontrol grup olarak kullanıldı. Geri kalan deneklerin paravertebral yumuşak dokuları L1-L4 mesafesi arasından diseke edildi. Deneklerin yarısın da MEK diğer yarısında bipolar koter kullanıldı. Cerrahiden 1 ay sonar femoral arter endoteli değişiklikleri sterolojikal olarak incelendi.Bulgular. MEK grubunun femoral arter endotelinde endotelyal deskuamasyon, sitoplazmik ve nükleer kondensasyon, hücresel çekilme ve hücre kaybı gelişti. Endotel hücre dansitesi normal hayvanlarda 270 cells/mm2, non- MEK grubunda 240 cells/mm2, MEK grubunda 190 cells/mm2 idi. Non- MEK ve normal grup arasında anlamlı fark yoktu (P>0.05). Non- MEK ve MEK arasında önemli fark vardı (P

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Cite This Article

KOCATÜRK, H., AYDIN, M. D., BAYRAM, E., ATALAY, C., GÜNDOĞDU, C., ÇALIK, M. (2022). Spinal cerrahide monopolar elektrokoter kullanımının femoral arter endoteline etkisi: Eksperimental çalışma. Eurasian Journal of Medicine, Cilt: 41 - Sayı: 2, 91–94. https://ajindex.com/articles/509360

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