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Electrosurgery

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https://www.readbyqxmd.com/read/28219818/ultrasonic-versus-electrosurgical-device-for-laparoscopic-cholecystectomy-a-systematic-review-with-meta-analysis-and-trial-sequential-analysis
#1
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...
February 20, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28216919/electrosurgery-use-in-circumcision-in-children-is-it-safe
#2
REVIEW
Tariq Ibrahim Altokhais
Circumcision is one of the most common procedures performed worldwide. Bleeding is one of the most common complications following male circumcision, and to decrease the risk of bleeding, electrosurgery may be utilized. However, the use of diathermy on the penis is controversial, and there are reported complications due to the use of electrosurgery for circumcision. The aim of this review is to evaluate the utilization and relative safety of monopolar and bipolar electrosurgery for circumcision in children.
January 2017: Urology Annals
https://www.readbyqxmd.com/read/28157731/superficial-electrosurgery-to-numb-or-not-to-numb
#3
Omer Ibrahim, Kenneth A Arndt, Jeffrey S Dover
No abstract text is available yet for this article.
February 1, 2017: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/28089684/the-impact-of-cystectomy-on-ovarian-reserve-a-review-of-the-literature
#4
REVIEW
Roa Alammari, Michelle Lightfoot, Hye-Chun Hur
Ovarian cysts are common in the reproductive age. Pathological cysts such as endometriomas and dermoids often require surgical intervention if symptomatic. Laparoscopic cystectomy is the first line treatment for these cysts, and is associated with better pain control and less recurrence than drainage or cyst ablation procedures. There has been an emerging concern about the effect of ovarian cystectomy on ovarian reserve with some evidence of short term and long term reduction in ovarian reserve. Certain cyst characteristics (endometrioma pathology, large cyst size, bilateral presentation) are associated with greater decline in ovarian reserve after cystectomy...
January 9, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28039649/or-fire-virtual-training-simulator-design-and-face-validity
#5
Denis Dorozhkin, Jaisa Olasky, Daniel B Jones, Steven D Schwaitzberg, Stephanie B Jones, Caroline G L Cao, Marcos Molina, Steven Henriques, Jinling Wang, Jeff Flinn, Suvranu De
BACKGROUND: The Virtual Electrosurgical Skill Trainer is a tool for training surgeons the safe operation of electrosurgery tools in both open and minimally invasive surgery. This training includes a dedicated team-training module that focuses on operating room (OR) fire prevention and response. The module was developed to allow trainees, practicing surgeons, anesthesiologist, and nurses to interact with a virtual OR environment, which includes anesthesia apparatus, electrosurgical equipment, a virtual patient, and a fire extinguisher...
December 30, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/28034387/clinical-issues-january-2017
#6
Byron L Burlingame
Jewelry removal when using electrosurgical devices Key words: electrosurgery, monopolar electrosurgery, jewelry, body piercing. Use of electrosurgery when a cardiac implanted device is present Key words: electrosurgery, monopolar electrosurgery, bipolar electrosurgery, implanted electronic device, cardiac implanted electronic device. Staffing when a laser is used Key words: laser, laser operator, laser nurse, laser assistant, laser user.
January 2017: AORN Journal
https://www.readbyqxmd.com/read/27943391/icd-on-registry-for-perioperative-management-of-cieds-most-require-no-change
#7
Janet Gifford, Karen Larimer, Celia Thomas, Patricia May
BACKGROUND: There is significant variability in the perioperative management of patients with cardiac implanted electronic devices (CIEDs) undergoing procedures requiring electrosurgery. METHODS: We performed a multicenter registry from February 2014 to August 2015 at three suburban Chicago hospitals. Patients with transvenous CIEDs undergoing procedures requiring electrosurgery were assigned to one of three groups: (1) reprogram, (2) magnet, or (3) no change. Subjects with implantable cardioverter defibrillators (ICDs) or those pacemaker dependent having surgical procedures within 6 inches of their CIED were assigned to the reprogram group, whereby ICD therapies were programmed off with asynchronous pacing if pacemaker dependent...
December 10, 2016: Pacing and Clinical Electrophysiology: PACE
https://www.readbyqxmd.com/read/27895908/diathermy-awareness-among-surgeons-an-analysis-in-ireland
#8
P M McQuail, B S McCartney, J F Baker, P Kenny
INTRODUCTION: Diathermy is an integral part of many modern surgical procedures. While diathermy is generally accepted as 'safe', electrosurgery-induced injuries are among the more common causes for malpractice litigation. The purpose of this study was to evaluate the awareness among surgeons of the principles, risks, precautions and appropriate use of diathermy. METHODS: All surgeons employed from Senior House Officer (SHO) to Consultant grade in two teaching hospitals were surveyed...
December 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27869377/physical-modalities-for-the-treatment-of-rosacea
#9
Maja A Hofmann, Percy Lehmann
Rosacea is characterised by a wide variety of vascular changes. Apart from telangiectasia and erythema, often so-called flushing occurs. These vascular abnormalities can be targeted with specific light and laser devices. In addition to KTP laser, pulsed dye laser (PDL) and Nd:YAG laser, also intense pulsed light devices (IPLs) are used. The described therapeutic effects include the reduction of vascular abnormalities and even improvement of papulopustular changes. While the KTP laser shows very good results in telangiectasia, the dye laser and IPL devices are used preferably in erythema...
December 2016: Journal der Deutschen Dermatologischen Gesellschaft, Journal of the German Society of Dermatology: JDDG
https://www.readbyqxmd.com/read/27710981/clinical-practice-guidelines-on-the-screening-and-treatment-of-precancerous-lesions-for-cervical-cancer-prevention-in-saudi-arabia
#10
REVIEW
Hazem Mahmoud Al-Mandeel, Emad Sagr, Khalid Sait, Hassan Mohamed Latifah, Abdulaziz Al-Obaid, Ismail A Al-Badawi, Abdulmohsen O Alkushi, Hany Salem, Nada S Massoudi, Holger Schunemann, Reem A Mustafa, Romina Brignardello-Petersen
BACKGROUND: Cervical cancer is the third most common gynecological malignancy in Saudi women with an estimated incidence rate of 1.9 cases per 100 000 women-years. More than 40% of cervical cancer cases are diagnosed at advanced stages due to lack of a routine screening program in Saudi Arabia. Thus, national guidelines for routine screening and treatment of precancerous cervical lesions are needed. METHODS: The Saudi Centre for Evidence-Based Healthcare invited a panel of local experts and partnered them with a team from McMaster University in Canada for methodological support, to develop national clinical practice guidelines on the screening and treatment of precancerous lesions for cervical cancer...
September 2016: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/27665098/predictors-of-intraoperative-electrosurgery-induced-implantable-cardioverter-defibrillator-icd-detection
#11
Hannah Friedman, John V Higgins, James D Ryan, Thomas Konecny, Samuel J Asirvatham, Yong-Mei Cha
BACKGROUND: In the USA, the number of people needing implantable cardioverter defibrillators (ICDs) has grown dramatically. Many ICD recipients will need to undergo a surgical procedure at some point following ICD implantation. Most surgeries involve the use of electrocautery. Currently, the effects of electrocautery-induced electromagnetic interference (EI-EMI) on ICDs are poorly understood. The aim of this study was to study EI-EMI using prospectively collected clinical data. METHODS: We analyzed prospectively collected ICD data from patients undergoing a surgical procedure at Mayo Clinic between 2011 and 2012...
January 2017: Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing
https://www.readbyqxmd.com/read/27607740/hysteroscopic-resection-of-type-3-myoma-a-new-challenge
#12
Perrine Capmas, Audrey Voulgaropoulos, Guillaume Legendre, Anne-Gaelle Pourcelot, Hervé Fernandez
OBJECTIVE: Type 3 myomas are intramural within contact with the endometrium but lack any cavity deformation. There is no guideline for management of symptomatic type 3 myoma. The aim of this study was to evaluate the feasibility of symptomatic type 3 myoma hysteroscopic resection. METHOD: This retrospective study included symptomatic women (mainly pain, infertility or bleeding) who obtained an operative hysteroscopy for type 3 symptomatic myoma from June 2010 to December 2014 in the gynaecological unit of a teaching hospital...
October 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/27576887/six-years-experience-of-laparoscopic-varicocelectomy-using-bipolar-electrosurgery-and-its-effect-on-semen-parameters
#13
Hossein Karami, Amin Hassanzade Hadad, Morteza Fallahkarkan
PURPOSE: To evaluate postoperative results of laparoscopic varicocelectomy using bipolar electrosurgery and analyze semen according to the grade of varicocele after surgery. MATERIALS AND METHODS: In a six-year period, 416 men with clinical varicocele and impaired semen parameters or infertility underwent laparoscopic varicocelectomy using bipolar electrosurgery. All patients were assessed for hydrocele and recurrence of varicocele six months and one year after the procedure...
August 25, 2016: Urology Journal
https://www.readbyqxmd.com/read/27501728/a-novel-methodology-for-in-vivo-endoscopic-phenotyping-of-colorectal-cancer-based-on-real-time-analysis-of-the-mucosal-lipidome-a-prospective-observational-study-of-the-iknife
#14
James Alexander, Louise Gildea, Julia Balog, Abigail Speller, James McKenzie, Laura Muirhead, Alasdair Scott, Christos Kontovounisios, Shanawaz Rasheed, Julian Teare, Jonathan Hoare, Kirill Veselkov, Robert Goldin, Paris Tekkis, Ara Darzi, Jeremy Nicholson, James Kinross, Zoltan Takats
BACKGROUND: This pilot study assessed the diagnostic accuracy of rapid evaporative ionization mass spectrometry (REIMS) in colorectal cancer (CRC) and colonic adenomas. METHODS: Patients undergoing elective surgical resection for CRC were recruited at St. Mary's Hospital London and The Royal Marsden Hospital, UK. Ex vivo analysis was performed using a standard electrosurgery handpiece with aspiration of the electrosurgical aerosol to a Xevo G2-S iKnife QTof mass spectrometer (Waters Corporation)...
August 8, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27479955/energy-dissipation-in-ex-vivo-porcine-liver-during-electrosurgery
#15
Wafaa Karaki, Ali Akyildiz, Suvranu De, Diana-Andra Borca Tasciuc
This paper explores energy dissipation in ex-vivo liver tissue during radiofrequency current excitation with application in electrosurgery. Tissue surface temperature for monopolar electrode configuration is measured using infrared thermometry. The experimental results are fitted to a finite element model for transient heat transfer taking into account energy storage and conduction in order to extract information about "apparent" specific heat, which encompasses storage and phase change. The average apparent specific heat determined for low temperatures is in agreement with published data...
July 27, 2016: IEEE Transactions on Bio-medical Engineering
https://www.readbyqxmd.com/read/27466870/the-science-behind-mini-laparoscopic-cholecystectomy
#16
Gustavo L Carvalho, Eduardo Moreno Paquentin, Jay A Redan, Phillip P Shadduck
BACKGROUND: Mini-laparoscopy (Mini) was pioneered more than 20 years ago. Newer generation mini instruments have recently become available with improved effector tips, a choice of shaft diameters and lengths, better shaft insulation and electrosurgery capability, improved shaft strength and rotation, more ergonomic handles, low-friction trocar options, and improved instrument durability. Whether the use of mini instruments, particularly newer generation instruments, offers advantages for laparoscopic cholecystectomy is the subject of this review...
July 29, 2016: Surgical Technology International
https://www.readbyqxmd.com/read/27456017/efficacy-and-safety-of-combined-ultrasonic-and-bipolar-energy-source-in-laparoscopic-surgery
#17
Daniel C Steinemann, Sebastian H Lamm, Andreas Zerz
AIM: Energy devices represent an alternative to clips and staplers for vessel sealing. Outcome data of patients undergoing laparoscopic surgery with use of a novel combined ultrasonic and bipolar energy device (TB, Thunderbeat™) was gathered. METHODS: Consecutive patients undergoing laparoscopic surgery using TB were prospectively included between November 2011 and January 2016. Large vessels were dissected using the energy device without additional clips or staplers...
October 2016: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/27439349/treatment-of-sarcoids-in-equids-230-cases-2008-2013
#18
Maarten Haspeslagh, Lieven E M Vlaminck, Ann M Martens
OBJECTIVE To evaluate outcomes following treatment of sarcoids in equids and to identify risk factors for treatment failure in these patients. DESIGN Retrospective case series. ANIMALS 230 equids with 614 sarcoids. PROCEDURES Records were searched to identify equids treated for ≥ 1 sarcoid between 2008 and 2013. A standardized protocol was used to determine treatment choice (electrosurgery, electrosurgery with intralesional placement of cisplatin-containing beads, topical administration of imiquimod or acyclovir, cryosurgery, bacillus Calmette-Guerin vaccine injection, or intralesional injection of platinum-containing drugs)...
August 1, 2016: Journal of the American Veterinary Medical Association
https://www.readbyqxmd.com/read/27424067/comparison-of-radiofrequency-and-electrocautery-with-conventional-scalpel-incisions
#19
Zafer Burak Hasar, Nurdan Ozmeric, Burcu Ozdemir, Ceren Gökmenoğlu, Emre Baris, Gökçen Altan, Sevil Kahraman
PURPOSE: The disadvantages of conventional scalpels, including insufficient control of bleeding, prompted us to search for new alternative methods such as electrosurgery and radiosurgery. In this study, the conventional scalpel was compared with radiosurgery and electrosurgery for wound healing with assessment of lateral heat production, inflammation, and instrument performance. MATERIALS AND METHODS: Incisions were made in the palatal mucosa of 42 Wistar rats using a scalpel, electrocautery instrument, or radiofrequency instrument...
November 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27420752/the-thunderbeat-and-other-energy-devices-in-laparoscopic-colorectal-resections-analysis-of-outcomes-and-costs
#20
Marco Ettore Allaix, Alberto Arezzo, Giuseppe Giraudo, Simone Arolfo, Massimiliano Mistrangelo, Mario Morino
BACKGROUND: The THUNDERBEAT™ (TB) is a recently developed energy-based device. To date, there are no clinical studies comparing TB and other energy sources, such as standard electrosurgery (ES), ultrasonic coagulating shears (US) and electrothermal bipolar vessel sealers (EBVS) in patients undergoing laparoscopic colorectal resection (LCR). The aim of this study was to compare outcomes and costs in patients undergoing LCR with TB, US, EBVS, or ES for both benign and malignant colorectal diseases...
July 15, 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
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