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Journals / Türk Patoloji Dergisi / 2017 / Cilt: 33 - Sayı: 2

Comparison of Three Different New Bipolar Energy Modalities and Classic Bipolar in Vivo for Tissue Thermal Spread

Melike Demir Çaltekin
Pages
144–149
Publication Date
2022-11-03
DOI
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⚡ TL;DR(Too Long; Didn't Read)

Results: evaluation of the damage on the uterine tubes by each device used revealed that LigaSure(TM) was associated with increased thermal injury compared to plasmakinetics(TM) (p=0.007). apart from plasmakineticstM (p=0.022), there was no statistically significant difference between the three devices in terms of thermal damage spread in the distal and proximal fallopian tubes.Conclusion: to reduce lateral thermal damage, plasmakinetics(TM) may be preferable to Ligasure(TM) among the three different new bipolar energy modalities.

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🎯
Objective & Hypothesis:Objective: the aim of this study was to compare three different new bipolar energy modalities and classic bipolar in vivo for tissue thermal spread.Material and Method: this prospective, randomized, single-blind study was conducted between Septemsber 2012 and July 2013. eighteen patients aged 40-65 years undergoing hysterectomy and bilateral salpingectomy for benign etiology were included in the study.
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Key Findings & Data:Before the hysterectomy operation began, it was marked nearly distal third cm started from uterine corn and proximal close third cm started from fimbrial bottoms by visualizing both fallopian tubes. the surgery was performed using one 5 mm applicator of plasmakinetics(TM), enSeal®, LigaSure(TM) or classic bipolar energy modality. the time each device was used was standardized as the minimum time of the audible warning of the device for tissue impedance and as tissue vaporization on classic bipolar. tissues were dyed by both H&e and Masson's trichrome in the pathology laboratory. thermal spread was compared.
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Conclusion & Impact:Results: evaluation of the damage on the uterine tubes by each device used revealed that LigaSure(TM) was associated with increased thermal injury compared to plasmakinetics(TM) (p=0.007). apart from plasmakineticstM (p=0.022), there was no statistically significant difference between the three devices in terms of thermal damage spread in the distal and proximal fallopian tubes.Conclusion: to reduce lateral thermal damage, plasmakinetics(TM) may be preferable to Ligasure(TM) among the three different new bipolar energy modalities.
🔬Design:Research Article
📍Scope:2012 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: the aim of this study was to compare three different new bipolar energy modalities and classic bipolar in vivo for tissue thermal spread.Material and Method: this prospective, randomized, single-blind study was conducted between Septemsber 2012 and July 2013. eighteen patients aged 40-65 years undergoing hysterectomy and bilateral salpingectomy for benign etiology were included in the study. Before the hysterectomy operation began, it was marked nearly distal third cm started from uterine corn and proximal close third cm started from fimbrial bottoms by visualizing both fallopian tubes. the surgery was performed using one 5 mm applicator of plasmakinetics(TM), enSeal®, LigaSure(TM) or classic bipolar energy modality. the time each device was used was standardized as the minimum time of the audible warning of the device for tissue impedance and as tissue vaporization on classic bipolar. tissues were dyed by both H&e and Masson's trichrome in the pathology laboratory. thermal spread was compared. Results: evaluation of the damage on the uterine tubes by each device used revealed that LigaSure(TM) was associated with increased thermal injury compared to plasmakinetics(TM) (p=0.007). apart from plasmakineticstM (p=0.022), there was no statistically significant difference between the three devices in terms of thermal damage spread in the distal and proximal fallopian tubes.Conclusion: to reduce lateral thermal damage, plasmakinetics(TM) may be preferable to Ligasure(TM) among the three different new bipolar energy modalities.

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Cite This Article

Çaltekin, M. D. (2022). Comparison of Three Different New Bipolar Energy Modalities and Classic Bipolar in Vivo for Tissue Thermal Spread. Türk Patoloji Dergisi, Cilt: 33 - Sayı: 2, 144–149. https://ajindex.com/articles/640882

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References (11)

  1. Massarweh NN, Cosgriff N, Slakey DP. Electrosurgery: History, principles, and current and future uses. J Am Coll Surg. 2006; 202:520-30
  2. Lantis JC II, Durville FM, Connolly R. Comparison of coagulatin modalities in surgery. J Laparoendosc Adv Surg Tech. 1998;8: 381-94
  3. Kim FJ, Chammas MF Jr, Gewehr E, Morihisa M, Caldas F, Hayacibara E, Baptistussi M, Meyer F, Martins AC. Temperature safety profile of laparoscopic devices: Harmonic ACE (ACE), Ligasure V (LV), and plasma trisector (PT). Surg Endosc. 2008;22:1464-9
  4. Goldstein SL, Harold KL, Lentzner A, Matthews BD, Kercher KW, Sing RF, Pratt B, Lipford EH, Heniford BT. Comparison of thermal spread after ureteral ligation with the Laparo-Sonic ultrasonic shears and the Ligasure system. J Laparoendosc Adv Surg Tech A. 2002;12:61-3
  5. Newcomb WL, Hope WW, Schmelzer TM, Heath JJ, Norton HJ, Lincourt AE, Heniford BT, Iannitti DA. Comparison of blood vessel sealing among new electrosurgical and ultrasonic devices. Surg Endosc. 2009;23:90-6
  6. Presthus JB, Brooks PG, Kirchhof N. Vessel sealing using a pulsed bipolar system and open forceps. J Am Assoc Gynecol Laparosc. 2003;10:528-33
  7. Wang CJ, Yuen LT, Yen CF, Lee CL, Soong YK. Comparison of the efficacy of the pulsed bipolar system and conventional bipolar electrosurgery in laparoscopically assisted vaginal hysterectomy. J Laparoendosc Adv Surg Tech A. 2005;15:361-4
  8. Abstracts of the Global Congress of Minimally Invasive Gynecology, 34th Annual Meeting of the American Association of Gynecologic Laparoscopists, Chicago, Illinois, USA, November 9-12, 2005. J Minim Invasive Gynecol. 2005;12:S1-124
  9. Carbonell AM, Joels CS, Kercher KW, Matthews BD, Sing RF, Heniford BT. A comparison of laparoscopic bipolar vessel sealing devices in the hemostasis of small-, medium-, and large-sized arteries. J Laparoendosc Adv Surg Tech A. 2003;13:377-80
  10. Sahin DA, Kusaslan R, Sahin O, Akbulut G, Bas O, Dilek ON. Histopathological effects of bipolar vessel sealing devices on liver parenchyma and comparison with suture method: an experimental study. Eur Surg Res. 2007;39:111-7
  11. Druzijanic N, Pogorelic Z, Perko Z, Mrklic I, Tomic S. Comparison of lateral thermal damage of the human peritoneum using monopolar diathermy, Harmonic scalpel and LigaSure. Can J Surg. 2012;55:317-21.