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https://www.readbyqxmd.com/read/28924734/evaluation-of-a-novel-electrosurgical-sealing-mode-in-an-ex-vivo-and-in-vivo-porcine-model
#1
Karolin Thiel, Walter Linzenbold, Markus D Enderle, B Nold, Alfred Königsrainer, Martin Schenk, Christian Thiel
BACKGROUND: Bipolar vessel sealing has been successfully introduced in a variety of procedures like prostatectomy, hysterectomy, and nephrectomy. In this study, we evaluated a new sealing mode-the thermoSEAL(®) mode (TSM)-operated with the VIO3 generator in an ex vivo and in vivo animal study and compared the results with the commercially available BiClamp mode (BCM), operated with the VIO300D generator. Two different instruments were used in combination with both modes, BiCision(®) and BiClamp(®) 201T (Erbe Elektromedizin GmbH)...
September 18, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28924615/complications-implications-and-prevention-of-electrosurgical-injuries-corner-stone-of-diathermy-use-for-junior-surgical-trainees
#2
REVIEW
Manjunath Siddaiah-Subramanya, Kor Woi Tiang, Masimba Nyandowe
Diathermy is commonly used in modern-day surgery. The incidence of electrosurgical injuries related to diathermy is under reported, as it is difficult to ascertain the true impact on both patient and healthcare professionals. As junior surgical trainees, understanding of the mechanism and biophysics of the electrosurgical tools enables safer usage and contributes to improved outcome. Careful use of electrosurgical tools during operation and appropriate communication amongst staff members are pivotal to a safe surgical outcome...
October 2017: Surg J (N Y)
https://www.readbyqxmd.com/read/28875504/zenker-s-diverticulum-submucosal-tunneling-endoscopic-septum-division-z-poem
#3
Oscar Víctor Hernandez Mondragón, Omar Michel Solórzano Pineda, Juan Manuel Blancas Valencia
BACKGROUND: Zenker diverticulum is characterized by dysphagia, weight loss and bronchoaspiration [1]. Open surgery has been the cornerstone of treatment, with good response but recurrence up to 35%.[2]. Rigid endoscopic diverticulotomy has similar results, but with conversion to open surgery up to 30%[3]. Flexible endoscopic diverticulotomy is safe, effective and can be performed in an endoscopic setting, but multiple sessions are needed because of uncomplete cut of the septum[4,5]. Z-POEM is a new procedure in which a total septum myotomy throughout a submucosal tunnel can be performed...
September 6, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28860977/damaged-neocortical-perineuronal-nets-due-to-experimental-focal-cerebral-ischemia-in-mice-rats-and-sheep
#4
Wolfgang Härtig, Bianca Mages, Susanne Aleithe, Björn Nitzsche, Stephan Altmann, Henryk Barthel, Martin Krueger, Dominik Michalski
As part of the extracellular matrix (ECM), perineuronal nets (PNs) are polyanionic, chondroitin sulfate proteoglycan (CSPG)-rich coatings of certain neurons, known to be affected in various neural diseases. Although these structures are considered as important parts of the neurovascular unit (NVU), their role during evolution of acute ischemic stroke and subsequent tissue damage is poorly understood and only a few preclinical studies analyzed PNs after acute ischemic stroke. By employing three models of experimental focal cerebral ischemia, this study was focused on histopathological alterations of PNs and concomitant vascular, glial and neuronal changes according to the NVU concept...
2017: Frontiers in Integrative Neuroscience
https://www.readbyqxmd.com/read/28851799/excisional-treatment-in-women-with-cervical-adenocarcinoma-in-situ-ais-a-prospective-randomised-controlled-non-inferiority-trial-to-compare-ais-persistence-recurrence-after-loop-electrosurgical-excision-procedure-with-cold-knife-cone-biopsy-protocol-for-a-pilot
#5
Paul A Cohen, Alison Brand, Peter Sykes, David C H Wrede, Orla McNally, Lois Eva, Archana Rao, Michael Campion, Martin Stockler, Aime Powell, Jim Codde, Max K Bulsara, Lyndal Anderson, Yee Leung, Louise Farrell, Pennie Stoyles
INTRODUCTION: Adenocarcinoma in situ (AIS) of the uterine cervix is the precursor to invasive endocervical adenocarcinoma. An excisional biopsy such as a cold knife cone biopsy (CKC) should be performed to exclude invasive adenocarcinoma. Loop electrosurgical excision procedure (LEEP) is an alternative modality to CKC but is controversial in AIS. There is a perception that there is a greater likelihood of incomplete excision of AIS with LEEP because the depth of excised tissue tends to be smaller and the tissue margins may show thermal artefact which can interfere with pathology assessment...
August 28, 2017: BMJ Open
https://www.readbyqxmd.com/read/28839333/endometriosis-with-an-aberrant-immunophenotype-challenging-differential-diagnosis-of-glandular-lesions-in-the-pelvic-lymph-nodes
#6
Dita Vlckova, Jiri Lenz, Radek Chvatal, Jan Tihon, Miroslav Kavka, Lucie Uncapher
CASE REPORT: We describe an unusual case of pelvic lymph node endometriosis with an aberrant immunophenotype mimicking metastasis of adenocarcinoma. A 37-year-old patient with a history of invasive cervical adenocarcinoma stage pT1a2 is presented. Due to insufficient loop electrosurgical excision procedure (LEEP) conization, total laparoscopic hysterectomy with pelvic lymphadenectomy was indicated. Intraoperatively, the diagnosis of deep infiltrating endometriosis of parametrial ligament and vesicouterine pouch, endometrioma of the left ovary and Allen Master's syndrome was suspected; the patient had no history or clinical symptoms of endometriosis...
August 24, 2017: Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia
https://www.readbyqxmd.com/read/28830467/biclamp%C3%A2-vessel-sealing-device-for-open-hepatic-resection-of-malignant-and-benign-liver-tumours-a-single-institution-experience
#7
Yi-Jun Zhao, Da-Chen Zhou, Fu-Bao Liu, Hong-Chuan Zhao, Guo-Bin Wang, Xiao-Ping Geng
BACKGROUND: Intraoperative blood loss during hepatectomy worsens prognosis, and various tools have been used to improve perioperative safety and feasibility. We aimed to retrospectively evaluate the feasibility and safety of the BiClamp® device for open liver resection. METHODS: We included 84 patients undergoing liver resection from a single centre, with all patients operated by the same surgical group. All hepatectomies were performed using BiClamp® (Erbe Elektromedizin GmbH, Tubingen, Germany), an electrosurgical device that simultaneously transects liver parenchyma and seals vessels <7 mm in diameter...
August 22, 2017: BMC Cancer
https://www.readbyqxmd.com/read/28817166/pregnancy-outcomes-following-cervical-conization-or-loop-electrosurgical-excision-procedures
#8
Luke A Gatta, Jeffrey A Kuller, Eleanor H J Rhee
Background: Conservative excisional measures used to manage cervical dysplasia are often cited as risk factors for preterm labor in subsequent pregnancies. Objective: We performed an evidence-based review of the obstetric complications following excisional procedures for cervical dysplasia in women of reproductive age. Evidence Acquisition: Between 1993 and 2016, there were 7 published meta-analyses of cohort studies that consistently demonstrated an association between excisional cervical procedures and preterm labor...
August 2017: Obstetrical & Gynecological Survey
https://www.readbyqxmd.com/read/28791321/two-electrosurgical-endo-knives-for-endoscopic-submucosal-dissection-of-colorectal-superficial-neoplasms-a-prospective-randomized-study
#9
Yuusaku Sugihara, Keita Harada, Yoshiro Kawahara, Daisuke Takei, Shiho Takashima, Toshihiro Inokuchi, Asuka Nakarai, Masahiro Takahara, Kenji Kuwaki, Sakiko Hiraoka, Hiroyuki Okada
BACKGROUND AND STUDY AIMS : Few studies have directly compared endo-knives for endoscopic submucosal dissection (ESD) in humans. We compared the performances of the Mucosectom2 and SB knife Jr. PATIENTS AND METHODS:  Two trainee endoscopists performed ESD of 36 lesions in this prospective, randomized controlled trial. Mucosal incision with a 1.5-mm Dual knife and submucosal dissection using the Mucosectom2 were performed in 1 group. Mucosal incision with a 1...
August 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28724862/clinical-and-radiographic-success-of-electrosurgical-pulpectomy-in-primary-teeth
#10
Rasoul Sahebalam, Alireza Sarraf, Hamid Jafarzadeh, Maryam Jouybari-Moghaddam, Samane Seyed-Musavi
A pulpectomy requires the swift extraction of the inflamed tissue. Moreover, the speed of treatment is especially important in the case of uncooperative children. Conventional pulpectomies, however, often require an extended treatment period, which can therefore cause problems with such patients. Electrosurgical methods have been applied to pulpotomies for a number of years. However, to the best of our knowledge, no studies to date have assessed its application to pulpectomies. The aim of this study was to compare clinical and radiographic success rates over a 6-month follow-up period between conventional and electrosurgical pulpectomies...
2017: Bulletin of Tokyo Dental College
https://www.readbyqxmd.com/read/28712796/electrosurgery-induced-damage-to-ti-6al-4v-and-cocrmo-alloy-surfaces-in-orthopedic-implants-in%C3%A2-vivo-and-in%C3%A2-vitro
#11
Gregory W Kubacki, Shiril Sivan, Jeremy L Gilbert
BACKGROUND: Recent observations of specific metal damage patterns on retrieved total joint implants implied a cellular origin and was termed inflammatory cell-induced (ICI) corrosion. Although ICI corrosion continues to present a potential damage source for metallic biomaterials surfaces, an alternate source of some damage patterns may arise from electrosurgery instruments in total joint arthroplasty. METHODS: To characterize electrosurgically-induced damage patterns on metal implants, a model system of highly polished CoCrMo and Ti-6Al-4V disks and commercial electrosurgical generator was evaluated in various modes and power settings using monopolar and bipolar configurations...
June 17, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28705054/radiofrequency-perforation-of-the-pulmonary-valve-an-efficient-low-cost-solution
#12
Stephen C Brown, Bjorn Cools, Derize Boshoff, Ruth Heying, Benedicte Eyskens, Marc Gewillig
Objective The aim of the study was to assess the feasibility of using commonly available catheterization laboratory equipment for radiofrequency perforation of the pulmonary valve in patients with pulmonary atresia and intact ventricular septum. Methods The system (off-label use for all items) is made up of a co-axial telescopic arrangement consisting of a 0.014" PT 2 ™ coronary guidewire, for insulation inside a 2.7-F microcatheter which has an inner lumen of 0.021". The microcatheter was passed via a standard 4-F right coronary catheter to just below the atretic pulmonary valve...
July 14, 2017: Acta Cardiologica
https://www.readbyqxmd.com/read/28691051/peroral-endoscopic-myotomy-using-flushknife-bt-a-single-center-series
#13
Shinwa Tanaka, Takashi Toyonaga, Fumiaki Kawara, Ian S Grimm, Namiko Hoshi, Hirofumi Abe, Yoshiko Ohara, Yoshinori Morita, Eiji Umegaki, Takeshi Azuma
BACKGROUND AND STUDY AIMS : Peroral endoscopic myotomy (POEM) is an evolving new treatment strategy for achalasia. Although several kinds of electrosurgical knives have been used in performing POEM, the best device has yet to be determined. The FlushKnife BT is a waterjet-emitting short needle-knife with a small ball tip (BT) that offers the potential to perform all aspects of POEM with a single device. In this study, we evaluated the safety and efficiency of the FlushKnife BT for POEM...
July 2017: Endoscopy International Open
https://www.readbyqxmd.com/read/28661266/argon-and-helium-plasma-coagulation-of-porcine-liver-tissue
#14
Tim R Glowka, Jens Standop, Pascal Paschenda, Michael Czaplik, Jörg C Kalff, René H Tolba
Objective Argon plasma coagulation (APC) and helium plasma coagulation (HPC) are electrosurgical techniques that provide noncontact monopolar electrothermal haemostasis. Although these techniques have been widely used clinically during the last three decades, their in vivo effects on liver tissue remain unclear. Methods We investigated the effects of different power levels (10-100 W) of APC and HPC on liver coagulation in 11 Landrace pigs. Capillary blood flow and capillary blood flow velocity were recorded with a combined laser Doppler flowmeter and spectrophotometer...
January 1, 2017: Journal of International Medical Research
https://www.readbyqxmd.com/read/28658331/evaluation-of-telomerase-htert-ki67-and-p16ink4a-expressions-in-low-and-high-grade-cervical-intraepithelial-lesions
#15
Ana Paula Szezepaniak Goulart, Manoel Afonso Guimarães Gonçalves, Vinicius Duval DA-Silva
Objective : to study the association between the histological grading of cervical intraepithelial neoplasia (CIN I, CIN II and CIN III) and the immunohistochemical expression for p16ink4a, hTert and Ki67, as well as to evaluate the relationship of these markers with the risk of recurrence after surgical treatment. Methods : we studied a historical cohort of 94 women with intraepithelial lesions CIN I (low grade), CIN II and CIN III (high grades) submitted to conization or electrosurgical excision of the transformation zone...
March 2017: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/28655061/outcomes-in-women-with-cytology-showing-atypical-squamous-cells-of-undetermined-significance-with-vs-without-human-papillomavirus-testing
#16
Jack Cuzick, Orrin Myers, Ji-Hyun Lee, Yang Shi, Julia C Gage, William C Hunt, Michael Robertson, Cosette M Wheeler
Importance: Little is known about the long-term yield of high-grade cervical intraepithelial neoplasia (CIN) and the influence on biopsy and treatment rates of human papillomavirus (HPV) triage of cytology showing atypical squamous cells of undetermined significance (hereafter ASC-US cytology). Objective: To examine 5-year outcomes after ASC-US cytology with vs without HPV testing. Design, Setting, and Participants: In this observational study, all cervical cytology and HPV testing reports from January 1, 2007, to December 31, 2012, were obtained for women throughout New Mexico and linked to pathology reports...
June 22, 2017: JAMA Oncology
https://www.readbyqxmd.com/read/28643661/impact-of-anaesthesia-mode-on-evaluation-of-leep-specimen-dimensions
#17
A Mercuzot, J Chevreau, H Sevestre, C Muszynski, M Arbyn, F Sergent, J Gondry
OBJECTIVES: To study the influence of anaesthesia (local by cervical block vs. general or spinal anaesthesia) on height and volume of resection specimens in case of conization treatment for cervical intraepithelial neoplasia (CIN). METHODS: Prospective observational study of all patients who underwent a first treatment by loop electrosurgical excision procedure (LEEP) for CIN. Height of fresh resection specimens was first measured by the operator and then by the pathologist after formaldehyde fixation...
April 2017: Journal of gynecology obstetrics and human reproduction
https://www.readbyqxmd.com/read/28617533/cervical-carcinogenesis-bacterial-vaginosis-hpv-mrna-test-and-relapse-of-cin2-after-loop-electrosurgical-excision-procedure-leep
#18
A Frega, G Lavini, A Guarino, V Giovanale, A Lukic, P Bianchi, G Cozza, R Marziani, A D'Ambrosio, D French, D Caserta
OBJECTIVE: The aim of the study was to evaluate the relationship between bacterial vaginosis (BV) and relapse of cervical intraepithelial neoplasia grade 2 or more (CIN2+) after Loop electrosurgical excision procedure (LEEP). PATIENTS AND METHODS: One hundred four patients who underwent LEEP for CIN2+ were followed up every six months for three years. Fifty-three were negative for BV and fifty-one were positive. Each clinical control included Pap test, colposcopy, Amsel criteria test, HPV-DNA, and HPV-mRNA test...
May 2017: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/28562439/impact-of-smoke-evacuation-on-patient-experience-during-mohs-surgery
#19
Yousif Yonan, Shari Ochoa
BACKGROUND: There have been several investigations into possible health risks of surgical smoke exposure, and it has previously been associated with harboring pathogens and carcinogens. Patients in the authors' practice have expressed that the odor from the smoke created by electrosurgical equipment is unpleasant. OBJECTIVE: The authors sought to determine if smoke evacuation decreases patient perception of smoke created by electrosurgery during Mohs surgery and if it subsequently improves patient satisfaction with their surgical experience by minimizing the associated odor...
May 25, 2017: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/28554359/clinical-issues-june-2017
#20
Mary J Ogg, Esther M Johnstone
Defining a small amount of surgical smoke Key words: surgical smoke, medical-surgical vacuum system, suction tubing. Assessment of hazardous medications Key words: hazardous medications, safety data sheets, OSHA hazard communication. Documentation of electrosurgical devices Key words: electrosurgical device. Developing an explant policy Key words: explant, guideline, implant, policy.
June 2017: AORN Journal
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