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https://www.readbyqxmd.com/read/28414627/the-dangers-of-electrosurgical-smoke-to-operating-room-personnel-a-review
#1
Kevin Bree, Spencer Barnhill, William Rundell
A 2007 study in the United Kingdom showed that three of 98 surgeons surveyed admitted using dedicated smoke extractors; 72% of respondents believed inadequate precautions were in place to protect staff from the potential dangers of electrosurgical smoke. Surgical smoke contains harmful chemicals (e.g., hydrogen cyanide, acetylene, and butadiene) that can circumvent standard masks used in the operating room (OR). In addition, bacteria and viruses can be transmitted through this smoke. The topic of electrosurgical smoke is important to occupational health nurses not only because of their responsibility to protect workers, but also because they, like other health care providers, may be exposed to smoke routinely...
April 1, 2017: Workplace Health & Safety
https://www.readbyqxmd.com/read/28394864/safety-of-cochlear-implants-in-electrosurgery-a-systematic-review-of-the-literature
#2
James Behan, Shauna Higgins, Ashley Wysong
BACKGROUND: The implications of electrosurgical instrument use in patients with cochlear implants (CIs) are becoming increasingly relevant for dermatologic surgeons as the number of implanted CI devices continues to grow. The literature, however, fails to provide clear recommendations for appropriate treatment of these patients. OBJECTIVE: To systematically consolidate and critique the current literature regarding electrosurgical instrument use in patients with CI, to determine implications of various electrosurgical devices and settings on CI function and health of cochlear tissues, and to devise recommendations for appropriate use...
April 6, 2017: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/28392434/-update-on-laparoscopic-electrosurgical-devices-and-their-use-in-complex-urologic-procedures
#3
G Boukheir, F Aoun, S Albisinni, T Roumeguère
INTRODUCTION: Laparoscopy is the standard of care for many urologic procedures and witnesses nowadays technological advancements. Hemostasis is highly important in laparoscopy since bleeding could rapidly alter the operative conditions. The objective of this review is to expose the different electrosurgical techniques, their history and their applications in urology. MATERIAL AND METHODS: A literature review was overdone using the following terms "laparoscopic electrosurgery" and/or "nephrectomy" and/or "prostatectomy"...
April 6, 2017: Progrès en Urologie
https://www.readbyqxmd.com/read/28369982/healing-of-canine-skin-incisions-made-with-monopolar-electrosurgery-versus-scalpel-blade
#4
Jacqueline E Scott, Elizabeth A Swanson, Jim Cooley, Robert W Wills, Emily C Pearce
OBJECTIVE: To determine the influence of monopolar electrosurgery in cutting mode set at 10, 20, or 30 W on surgery time, hemostasis, and healing of cutaneous wounds compared to scalpel incisions. STUDY DESIGN: Randomized blinded control trial. ANIMALS: Dogs (n = 15). METHODS: Four skin incisions were created on either side of the dorsal midline with a scalpel, or monopolar electrosurgery at 10, 20, and 30 W. Surgical time and incisional bleeding were measured...
April 1, 2017: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/28366730/a-randomized-clinical-trial-comparing-cervical-dysplasia-treatment-with-cryotherapy-vs-loop-electrosurgical-excision-procedure-in-hiv-seropositive-women-from-johannesburg-south-africa
#5
Jennifer S Smith, Busola Sanusi, Avril Swarts, Mark Faesen, Simon Levin, Bridgette Goeieman, Sibongile Ramotshela, Ntombiyenkosi Rakhombe, Anna L Williamson, Pam Michelow, Tanvier Omar, Michael G Hudgens, Cynthia Firnhaber
BACKGROUND: Mortality associated with cervical cancer is a public health concern for women, particularly in HIV-seropositive women in resource-limited countries. HIV-seropositive women are at a higher risk of high-grade cervical precancer, which can eventually progress to invasive carcinoma as compared to HIV-seronegative women. It is imperative to identify effective treatment methods for high-grade cervical precursors among HIV-seropositive women. OBJECTIVE: Randomized controlled trial data are needed comparing cryotherapy vs loop electrosurgical excision procedure treatment efficacy in HIV-seropositive women...
March 31, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28344962/efficacy-of-loop-electrosurgical-excision-procedure-with-cold-coagulation-for-treating-cervical-intraepithelial-neoplasia-a-two-center-cohort-study
#6
Hee Seung Kim, Jeong Eun Kwon, Jeong Ha Kim, Anna Kim, Na Ra Lee, Miseon Kim, Maria Lee, Dong Hoon Suh, Yong Beom Kim
OBJECTIVE: To evaluate the efficacy of loop electrosurgical excision procedure (LEEP) combined with cold coagulation for treating cervical intraepithelial neoplasia (CIN). METHODS: We reviewed clinic-pathologic data of 498 patients treated with LEEP alone (n=354), and LEEP combined with cold coagulation (n=144) between January 2000 and December 2011. After LEEP, we followed up all patients by using Papanicolaou smear and human papillomavirus (HPV) test, and evaluated abnormal cervical cytology-free interval and high-risk HPV infection-free interval...
March 2017: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/28341953/giant-rhinophyma-a-rare-case-of-total-nasal-obstruction-and-restitutio-ad-integrum
#7
Andreas Wolter, Till Scholz, Jutta Liebau
Rhinophyma is considered the end stage in the development of rosacea, accompanied by hypertrophy of the sebaceous glands, which causes an enlargement of the nose. It is an uncommon condition that often results in both functional and cosmetic impairment. A large variety of surgical and nonsurgical treatments have been published to treat it. Closure is usually obtained by wound granulating in by secondary intention, skin grafting or local flaps. Rarely these lesions can attain a giant size and pose a challenge in surgical treatment...
March 24, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28314089/electrosurgery-reduces-blood-loss-and-immediate-postoperative-inflammation-compared-to-cold-instruments-for-midline-celiotomy-in-dogs-a-randomized-controlled-trial
#8
Lee B Meakin, Jo C Murrell, Ivan C P Doran, Toby G Knowles, Michael S Tivers, Guillaume P A Chanoit
OBJECTIVES: To compare the use of an electrosurgical device with traditional cold instruments (scalpel and scissors) for midline celiotomy incision. STUDY DESIGN: Prospective randomized controlled clinical trial. SAMPLE POPULATION: One hundred and twenty client-owned dogs undergoing abdominal surgery. METHODS: Dogs were prospectively recruited and randomized to receive electroincision or cold instrument incision. For cold incision, surgeons used basic surgical instruments including scalpel and scissors...
March 17, 2017: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/28289364/complications-inattendues-de-la-chirurgie-deux-cas-de-br%C3%A3-lure-par-plaque-de-bistouri-%C3%A3-lectrique
#9
B Diop, A Sy, P A Ba, B MBaye, Y Wane, S M Sarre
There is a real risk of electrical accidents in the operating theatre, with the growing number of electrical, electronic and flammable liquids used. Electrocautery remains the most commonly used device for its electrosurgical effect of coagulation or tissue section. When it is defective or misplaced on a small area of the skin, it can cause a typically deep, slow healing skin burn. It adds an unexpected iatrogenic morbidity to the initial condition, with devastating consequences for the patient, the surgeon and sometimes the hospital...
December 31, 2016: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/28275694/clear-cell-adenocarcinoma-of-the-cervix-in-second-generation-young-women-who-are-without-maternal-exposure-to-diethylstilbestrol-a-case-report
#10
Tanitra Tantitamit, Suttha Hamontri, Likit Rangsiratanakul
Clear cell adenocarcinoma of the cervix (CCAC) is a rare type of gynecological cancer. The risk factors and pathogenesis have yet to be clearly determined. This is a case report of a 19-year-old woman, who was never exposed to DES from her mother, who had gone for an examination for vaginal bleeding. A polypoid mass measured at 3 cm presenting in her cervix was discovered. Histological diagnosis following cervical biopsy proved the tumor to be a clear cell carcinoma. The patient was then referred to our hospital...
May 2017: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/28241952/guideline-implementation-energy-generating-devices-part-1-electrosurgery
#11
Sheryl P Eder
Energy-generating devices are standard equipment in the surgical suite, with electrosurgical units being the most common type of electrical device used in the OR. Prevention of injuries to patients and personnel related to the use of energy-generating devices is a key component of the perioperative nurse's role. The AORN "Guideline for safe use of energy-generating devices" provides guidance on the use and maintenance of devices that deliver energy in the forms of radiofrequency waves, ultrasound waves, or lasers...
March 2017: AORN Journal
https://www.readbyqxmd.com/read/28239324/capsule-retention-caused-by-duodenal-metastases-from-primary-appendiceal-adenocarcinoma
#12
Jen-Wei Chou, Ken-Sheng Cheng
Metastatic small bowel cancers are extremely rare in clinical practice. Primary appendiceal adenocarcinoma with gastrointestinal metastasis is seldom reported in the literature. Here, we describe the case of an 80-year-old male patient with primary appendiceal adenocarcinoma, who presented to China Medical University Hospital with mid-gastrointestinal tract bleeding. Capsule endoscopy revealed stenotic bowel lumen, but the capsule was retained in the distal duodenum. Double-balloon enteroscopy demonstrated erosive and erythematous mucosa in the region of capsule retention...
January 2017: Intestinal Research
https://www.readbyqxmd.com/read/28231598/evaluation-of-the-p16-and-ki-67-biomarkers-as-predictors-of-the-recurrence-of-premalignant-cervical-cancer-lesions-after-leep-conization
#13
Paulo Macêdo de Oliveira Leite, Luciene Tafuri, Maria Zélia de Oliveira Costa, Maria Inês de Miranda Lima, Renata Toscano Simões
Objective To evaluate the expressions of biomarkers p16 and Ki-67 in low-grade (LG) or high-grade (HG) lesions, and to relate them to risk factors and the recurrence of these lesions. Methods A retrospective case-control study of 86 patients with LG and HG lesions who underwent a loop electrosurgical excision procedure (LEEP) between 1999 and 2004. The control group was composed of 69 women with no recurrence, and the study group, of 17 patients with recurrence. All patients were followed-up over a two-year period after surgery, and screened every six months, including cytology and colposcopy...
February 23, 2017: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/28219818/ultrasonic-versus-electrosurgical-device-for-laparoscopic-cholecystectomy-a-systematic-review-with-meta-analysis-and-trial-sequential-analysis
#14
REVIEW
Hong-Peng Jiang, Ya-Dong Liu, Yan-Sen Li, Zhan-Long Shen, Ying-Jiang Ye
BACKGROUND: Ultrasonic and electrosurgical energy dissectors are main dissecting devices widely used for the laparoscopic cholecystectomy. Trial sequential analyses can establish whether firm evidence favoring a specific device has been reached from accumulated literature. To explore this, we performed a meta-analysis and trial sequential analyses. METHODS: PubMed, Embase, and the Cochrane Library were searched from inception to October 2016. The primary outcome was operative time...
April 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28217677/delayed-hemorrhage-effect-of-local-anesthesia-with-epinephrine-in-the-loop-electrosurgical-excisional-procedure
#15
Yong Jae Lee, Yunjin Park, In Ok Lee, Jung Won Yoon, Jung Yoon Lee, Sang Wun Kim, Sunghoon Kim, Young Tae Kim, Eun Ji Nam
OBJECTIVE: The aim of this study was to investigate factors preventing delayed hemorrhage after the loop electrosurgical excisional procedure (LEEP). METHODS: Medical records of patients who underwent LEEP at one university affiliated hospital from October 2013 to January 2015 were reviewed. Patients with or without delayed hemorrhage were classified. LEEP was performed either in an operating room under general anesthesia or in a procedure room with local anesthesia in the outpatient clinic...
January 2017: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/28210875/retraction-note-to-effect-of-anti-sticking-nanostructured-surface-coating-on-minimally-invasive-electrosurgical-device-in-brain
#16
Han-Yi Cheng, Keng-Liang Ou, Hsi-Jen Chiang, Li-Hsiang Lin
No abstract text is available yet for this article.
February 16, 2017: Annals of Biomedical Engineering
https://www.readbyqxmd.com/read/28181670/risk-of-persistent-or-recurrent-neoplasia-in-conservatively-treated-women-with-cervical-adenocarcinoma-in-situ-with-negative-histological-margins
#17
Aime Munro, Jim Codde, Katrina Spilsbury, Colin J R Stewart, Nerida Steel, Yee Leung, Jason Tan, Stuart G Salfinger, Ganendra R Mohan, James B Semmens, Paul A Cohen
INTRODUCTION: Conservative treatments including cold knife cone biopsy (CKC) or loop electrosurgical excision procedure (LEEP) are fertility-preserving alternatives to hysterectomy. The risks of persistent cervical neoplasia in women with negative surgical margins following conservative treatment of adenocarcinoma-in-situ (AIS) are uncertain. This study aims to investigate the risk of persistent or recurrent cervical neoplasia [AIS, adenocarcinoma and/or high-grade cervical squamous intraepithelial neoplasia (CIN)] and compliance with follow-up recommendations in conservatively treated women with AIS and negative histopathological margins...
April 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28157826/impact-of-age-at-conization-on-obstetrical-outcome-a-case-control-study
#18
Julien Chevreau, Antonin Mercuzot, Arthur Foulon, Chirstophe Attencourt, Fabrice Sergent, Ségolène Lanta, Jean Gondry
OBJECTIVE: The aim of the study was to assess whether an age younger than 25 years at conization affected future pregnancy outcome as an independent factor. MATERIALS AND METHODS: A retrospective study of 115 women who underwent both loop electrosurgical excision procedure (LEEP) and subsequent pregnancy follow-up in a referral center was conducted. Two groups were considered: patients younger than 25 years at the time of LEEP (n = 42) and 25 years or older (n = 73)...
April 2017: Journal of Lower Genital Tract Disease
https://www.readbyqxmd.com/read/28146089/electrosurgical-smoke-ultrafine-particle-measurements-and-work-environment-quality-in-different-operating-theatres
#19
Francesco Romano, Jan Gustén, Stefano De Antonellis, Cesare M Joppolo
Air cleanliness in operating theatres (OTs) is an important factor for preserving the health of both the patient and the medical staff. Particle contamination in OTs depends mainly on the surgery process, ventilation principle, personnel clothing systems and working routines. In many open surgical operations, electrosurgical tools (ESTs) are used for tissue cauterization. ESTs generate a significant airborne contamination, as surgical smoke. Surgical smoke is a work environment quality problem. Ordinary surgical masks and OT ventilation systems are inadequate to control this problem...
January 30, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28135733/treatment-of-recurrent-esophageal-stricture-with-an-insulated-tip-electrosurgical-knife-and-mitomycin-c
#20
Austin L Chiang, Wasif M Abidi, Christopher C Thompson
No abstract text is available yet for this article.
February 2017: Endoscopy
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