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Electrosurgery

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https://www.readbyqxmd.com/read/29129517/comparison-of-three-different-hemostatic-devices-in-laparoscopic-myomectomy
#1
Hui-Yu Huang, Yu-Cheng Liu, Yi-Chieh Li, Hsin-Hong Kuo, Chin-Jung Wang
BACKGROUND: To compare conventional electrosurgery, LigaSure (Valleylab, Boulder, CO), and Harmonic scalpel (Ethicon Endosurgery, Cincinnati, OH) in terms of perioperative and postoperative outcomes during laparoscopic myomectomy (LM). METHODS: We retrospectively studied 817 women with symptomatic fibroids who underwent LM between January 1997 and September 2015. Three different instruments were used separately during surgery. The number and weight of removed fibroids, blood loss, operative time, postoperative decrease in the hemoglobin level, and length of hospital stay were measured for statistical analysis...
November 9, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/29109357/occupational-exposure-to-electromagnetic-fields-from-medical-sources
#2
Rianne Stam, Sachiko Yamaguchi-Sekino
High exposures to electromagnetic fields (EMF) can occur near certain medical devices in the hospital environment. A systematic assessment of medical occupational EMF exposure could help to clarify where more attention to occupational safety may be needed. This paper seeks to identify sources of high exposure for hospital workers and compare the published exposure data to occupational limits in the European Union. A systematic search for peer-reviewed publications was conducted via PubMed and Scopus databases...
November 3, 2017: Industrial Health
https://www.readbyqxmd.com/read/29094362/epicardial-exposure-provided-by-a-novel-thoracoscopic-pericardectomy-technique-compared-to-standard-pericardial-window
#3
Laura A Barbur, Clarence A Rawlings, MaryAnn G Radlinsky
OBJECTIVE: (1) To describe a novel technique for thoracoscopic pericardectomy using a pericardial window with vertical pericardial fillets (PW+F). (2) To compare epicardial exposure between a standard pericardial window (PW) and PW+F. STUDY DESIGN: Experimental study. ANIMALS: Purpose-bred research dogs (n = 12). METHODS: PW was performed through a 3-port subxiphoid thoracoscopic approach. After PW, vertical fillets were made in the pericardium for PW+F...
November 2, 2017: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/28940991/guidewire-electrosurgery-assisted-trans-septal-puncture
#4
Jaffar M Khan, Toby Rogers, Marvin H Eng, Robert J Lederman, Adam B Greenbaum
OBJECTIVES: Electrifying a coronary guidewire may be a simple escalation strategy when trans-septal needle puncture is unsuccessful. BACKGROUND: Radiofrequency energy to facilitate trans-septal puncture through a dedicated device is costly and directly through a trans-septal needle may be less safe. Our technique overcomes these limitations. METHODS: The technique was used in patients when trans-septal needle penetration failed despite excessive force or tenting of the atrial septum...
September 20, 2017: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/28939480/hysteroscopic-removal-of-retained-products-of-conception-implanted-over-a-focal-area-of-adenomyosis-a-case-report
#5
Luis Alonso, Laura Nieto, Jose Carugno
STUDY OBJECTIVE: To describe a technique for hysteroscopic removal of retained products of conception (RPOC) implanted over an area of adenomyosis. DESIGN: A case report (Canadian Task Force classification III). SETTING: RPOC is an unfortunate complication that may occur after the resolution of a normal pregnancy; it is more common after early pregnancy termination or spontaneous miscarriage [1]. Immediate consequences of RPOC include persistent vaginal bleeding, abdominal pain, pelvic infection, fever, and dilated cervix...
September 20, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28931203/scalpel-versus-electrosurgery-for-major-abdominal-incisions
#6
REVIEW
Kittipat Charoenkwan, Zipporah Iheozor-Ejiofor, Kittipan Rerkasem, Elizabeth Matovinovic
BACKGROUND: Scalpels or electrosurgery can be used to make abdominal incisions. The potential benefits of electrosurgery may include reduced blood loss, dry and rapid separation of tissue, and reduced risk of cutting injury to surgeons. Postsurgery risks possibly associated with electrosurgery may include poor wound healing and complications such as surgical site infection. OBJECTIVES: To assess the effects of electrosurgery compared with scalpel for major abdominal incisions...
June 14, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28867916/a-method-to-facilitate-nonsticking-of-regular-bipolar-forceps
#7
Hui-Kuang Huang, Jung-Pan Wang
Electrosurgery using a bipolar cautery is very common, especially in surgical fields with surrounding vital structures. However, the tissue tends to stick to the bipolar forceps due to the heat cautery, which makes the tips stick together. When forceps tips are stuck to the cauterized tissue, surgeons have to spend time separating the tips. Also, when surgeons separate the tips, a cauterized bleeder may rebleed. Some bipolar forceps with nonstick coatings have been developed to reduce the sticking problem. However, for some surgeons or institutes, these nonstick bipolar forceps may be unavailable...
August 2017: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/28802484/electrosurgery-for-the-treatment-of-moderate-or-severe-rhinophyma
#8
L F González, H Herrera, A Motta
Rhinophyma, a rare and progressive disfiguring condition, is thought to be the final stage of rosacea. Several surgical treatments are available, including dermabrasion, cryosurgery, scalpel excision, electrosurgery, and carbon dioxide laser. The last 2 techniques are the most effective for the management of rhinophyma. We describe a series of cases of moderate or severe rhinophyma treated with high-frequency electrosurgery in the dermatology department of Hospital Simón Bolivar and in private clinics in Bogota, Colombia, between 2012 and 2016...
August 9, 2017: Actas Dermo-sifiliográficas
https://www.readbyqxmd.com/read/28724862/clinical-and-radiographic-success-of-electrosurgical-pulpectomy-in-primary-teeth
#9
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
#10
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...
November 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28651824/cryotherapy-to-treat-anogenital-warts-in-nonimmunocompromised-adults-systematic-review-and-meta-analysis
#11
REVIEW
Antoine Bertolotti, Nicolas Dupin, Fabrice Bouscarat, Brigitte Milpied, Christian Derancourt
BACKGROUND: Cryotherapy is one of the most commonly used therapeutic modalities to treat anogenital warts (AGWs), but this treatment was not clearly established in the recent international recommendations. OBJECTIVE: To compare the efficacy and safety of cryotherapy versus other AGW treatments. METHODS: Through a systematic search of 12 electronic databases, we identified 11 randomized controlled trials, screened from database inception through October 2016, that met the inclusion criteria (including immunocompetent adults with AGWs receiving cryotherapy in 1 of the comparison groups)...
September 2017: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/28566857/comparative-evaluation-of-gingival-depigmentation-by-tetrafluroethane-cryosurgery-and-surgical-scalpel-technique-a-randomized-clinical-study
#12
Suraj D Narayankar, Neeraj C Deshpande, Deepak H Dave, Dhaval J Thakkar
INTRODUCTION: Importance of good smile cannot be underestimated in enhancement of beauty, self-confidence and personality of a person. Health and appearance of gingiva is an essential part of attractive smile. Gingival pigmentation gives rise to unesthetic smile line. In present world, with increasing awareness to esthetic, people have become highly concerned about black gums. Various treatment modalities like abrasion, scrapping, scalpel technique, cryosurgery, electrosurgery and laser are available for treatment of gingival pigmentation...
January 2017: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/28562439/impact-of-smoke-evacuation-on-patient-experience-during-mohs-surgery
#13
COMPARATIVE STUDY
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...
November 2017: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/28492569/-electromagnetic-interference-in-the-current-era-of-cardiac-implantable-electronic-devices-designed-for-magnetic-resonance-environment
#14
REVIEW
Valentina Ribatti, Luca Santini, Giovanni B Forleo, Domenico Della Rocca, Germana Panattoni, Marta Scali, Valentina Schirripa, Nicola Danisi, Fabrizio Ammirati, Massimo Santini
In the last decades we are observing a continuous increase in the number of patients wearing cardiac implantable electronic devices (CIEDs). At the same time, we face daily with a domestic and public environment featured more and more by the presence and the utilization of new emitters and finally, more medical procedures are based on electromagnetic fields as well. Therefore, the topic of the interaction of devices with electromagnetic interference (EMI) is increasingly a real and actual problem.In the medical environment most attention is paid to magnetic resonance, nevertheless the risk of interaction is present also with ionizing radiation, electrical nerve stimulation and electrosurgery...
April 2017: Giornale Italiano di Cardiologia
https://www.readbyqxmd.com/read/28462406/effectiveness-of-radio-waves-application-in-modern-general-dental-procedures-an-update
#15
Arslan Qureshi, Sergio Varela Kellesarian, Michael A Pikos, Fawad Javed, Georgios E Romanos
OBJECTIVE: The purpose of the present study was to review indexed literature and provide an update on the effectiveness of high-frequency radio waves (HRW) application in modern general dentistry procedures. DATA SOURCES: Indexed databases were searched to identify articles that assessed the efficacy of radio waves in dental procedures. RESULTS: Radiosurgery is a refined form of electrosurgery that uses waves of electrons at a radiofrequency ranging between 2 and 4 MHz...
April 28, 2017: Quintessence International
https://www.readbyqxmd.com/read/28438057/the-art-of-electrosurgery-trainees-and-experts
#16
Frédérique C Meeuwsen, Annetje C P Guédon, Ewout A Arkenbout, Maarten van der Elst, Jenny Dankelman, John J van den Dobbelsteen
The benefits of electrosurgery have been acknowledged since the early 1920s, and nowadays more than 80% of surgical procedures involve devices that apply energy to tissues. Despite its widespread use, it is currently unknown how the operator's choices with regard to instrument selection and application technique are related to complications. As such, the manner in which electrosurgery is applied can have a serious influence on the outcome of the procedure and the well-being of patients. The aim of this study is to investigate the variety of differences in usage of electrosurgical devices...
August 2017: Surgical Innovation
https://www.readbyqxmd.com/read/28414627/the-dangers-of-electrosurgical-smoke-to-operating-room-personnel-a-review
#17
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...
November 2017: Workplace Health & Safety
https://www.readbyqxmd.com/read/28413855/frequency-of-pacemaker-malfunction-associated-with-monopolar-electrosurgery-during-pulse-generator-replacement-or-upgrade-surgery
#18
Yun Lin, Daniel P Melby, Balaji Krishnan, Selcuk Adabag, Venkatakrishna Tholakanahalli, Jian-Ming Li
PURPOSE: The aim of this study is to investigate the frequency of electrosurgery-related pacemaker malfunction. METHODS: A retrospective study was conducted to investigate electrosurgery-related pacemaker malfunction in consecutive patients undergoing pulse generator (PG) replacement or upgrade from two large hospitals in Minneapolis, MN between January 2011 and January 2014. The occurrence of this pacemaker malfunction was then studied by using MAUDE database for all four major device vendors...
August 2017: Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing
https://www.readbyqxmd.com/read/28394864/safety-of-cochlear-implants-in-electrosurgery-a-systematic-review-of-the-literature
#19
REVIEW
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...
June 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
#20
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
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