PlasmaKinetic bipolar vessel sealing: burst pressures and thermal spread in an animal model.
Journal Article (Journal Article)
BACKGROUND AND PURPOSE: Laparoscopic bipolar instruments are commonly employed to cauterize and divide tissue. A next-generation bipolar device has been developed that employs vapor pulse coagulation energy. We assessed the vessel-sealing capability of this device and quantified thermal spread during application. MATERIALS AND METHODS: Bilateral laparoscopic nephrectomy was performed on six common swine >25 kg. Five-millimeter clips and surgical staplers (US Surgical, Norwalk, CT) were utilized to perform nephrectomy on one side, while the Gyrus PlasmaKinetic bipolar device (Minneapolis, MN) was employed for the contralateral nephrectomy. Vessel-sealing capabilities were assessed via burst-pressure studies. The extent of thermal spread was measured after tissue fixation and hematoxylin and eosin staining. RESULTS: Surgical clips/vascular staplers adequately controlled/sealed renal hilar vessels with burst pressures nearing 300 mm Hg. The Gyrus bipolar device reliably sealed and divided renal arteries
Full Text
Duke Authors
Cited Authors
- Pietrow, PK; Weizer, AZ; L'Esperance, JO; Auge, BK; Silverstein, A; Cummings, T; Preminger, GM; Albala, DM
Published Date
- 2005
Published In
Volume / Issue
- 19 / 1
Start / End Page
- 107 - 110
PubMed ID
- 15735394
International Standard Serial Number (ISSN)
- 0892-7790
Digital Object Identifier (DOI)
- 10.1089/end.2005.19.107
Language
- eng
Conference Location
- United States